ICON PROFESSIONAL SERVICES INC. NPI 1518344142

NPI Information

NPI: 1518344142
Provider Name: ICON PROFESSIONAL SERVICES, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
11970 N CENTRAL EXPY
SUITE 500
DALLAS, TX
ZIP 75243
Phone: (469) 248-0899
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ICON PROFESSIONAL SERVICES, INC. is an ambulatory surgical clinic center in Dallas, TX. ICON PROFESSIONAL SERVICES, INC. NPI is 1518344142. The provider is registered as an organization entity type.

The provider's business location address is:

11970 N CENTRAL EXPY
SUITE 500
DALLAS, TX
ZIP 75243-768
Phone: (469) 248-0899
Fax: (210) 547-9235

The provider's authorized official is Christine Duncan .
The authorized official title is Director and has the following contact phone number (469) 248-0899.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 5/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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