| Icon Wellness Center And Medical Spa | |
|
250 Blossom St Suite 100 Webster TX 77598-4204 | |
| (281) 724-0190 | |
| (281) 724-0191 |
| Full Name | Icon Wellness Center And Medical Spa |
|---|---|
| Speciality | General Practice |
| Location | 250 Blossom St, Webster, Texas |
| Authorized Official Name and Position | John Robert Johnston (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2817240190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icon Wellness Center And Medical Spa 250 Blossom St Suite 100 Webster TX 77598-4204 Ph: (281) 724-0190 | Icon Wellness Center And Medical Spa 250 Blossom St Suite 100 Webster TX 77598-4204 Ph: (281) 724-0190 |
| NPI Number | 1730335977 |
|---|---|
| Provider Enumeration Date | 08/07/2008 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730335977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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