Provider Demographics
NPI:1770598435
Name:KARAKASHEVICH, JOVAN D (DC)
Entity type:Individual
Prefix:
First Name:JOVAN
Middle Name:D
Last Name:KARAKASHEVICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7203 JOHN W CARPENTER FWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-5113
Mailing Address - Country:US
Mailing Address - Phone:214-637-3737
Mailing Address - Fax:214-637-7014
Practice Address - Street 1:7203 JOHN W CARPENTER FWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-5113
Practice Address - Country:US
Practice Address - Phone:214-637-3737
Practice Address - Fax:214-637-7014
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor