Ikon Pain Management Consultants PLLC
Clinic/Center, Pain in Midlothian, TX. Organization (NPI-2).
NPI number1982249405
StatusActive
Last updated in NPPESFeb 9, 2022
Details
- NPI
- 1982249405
- Entity type
- Organization (NPI-2)
- Legal business name
- Ikon Pain Management Consultants PLLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2019
- Certification date
- Feb 9, 2022
- Last updated
- Feb 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP3300X | Clinic/Center, Pain | – | – | Yes |
Practice location
430 Hawkins Run Rd Ste 1Midlothian, TX 76065-6660
Phone 469-964-0641 · Fax 833-941-2603
Mailing address
430 Hawkins Run Rd Ste 1Midlothian, TX 76065-6660
Phone 469-964-0641 · Fax 833-941-2603
Authorized official
Spiro Adel Khoury
Physician Owner
4699640641
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