Provider Demographics
NPI:1215588082
Name:RIZK, REBECCA (DC)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:RIZK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 JUSTIN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4325
Mailing Address - Country:US
Mailing Address - Phone:972-355-0083
Mailing Address - Fax:
Practice Address - Street 1:1681 JUSTIN RD STE 100
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4325
Practice Address - Country:US
Practice Address - Phone:972-355-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor