Organization · Type 2 NPI

Icon Professional Services, Inc.

Ambulatory Surgical Clinic/Center · Dallas, TX

NPI number 1518344142 Active

Practice location

11970 N Central Expy, Suite 500
Dallas, TX 75243-3768

Fax (210) 547-9235

Mailing address

PO Box 195249
Dallas, TX 75219-8604

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1518344142

Icon Professional Services, Inc.'s National Provider Identifier is 1518344142, issued on May 4, 2015. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Dallas, TX. The record was last updated on May 4, 2015.