Figueroa, Ivan
Figueroa, Ivan is an individual health care provider with primary practice located at 14902 Preston Rd Ste 404-1051, Dallas TX 75254-6801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Figueroa, Ivan can be contacted via phone (214) 699-9221.Contact Information
Primary practice address
14902 Preston Rd Ste 404-1051
Dallas TX 75254-6801
Phone: (214) 699-9221
Fax: (972) 559-1871
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | M6614 | Texas |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | M6614 | Texas |
Profile Details
NPI number | 1851595359 |
---|---|
LBN Legal business name | Figueroa, Ivan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 11th, 2007 |
Last updated | Oct 2nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851595359 | NPPES |
Other | BP10017722 | INSTITUTIONAL PERMIT |
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