# AEON HEALTH, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154564383
- **Authorized official:** IRENE RAE WILLINGHAM M.D. (OWNER)
- **Authorized official phone:** (214) 526-8600

## Contact information

- **Practice address:** 4809 COLE AVE STE 110, DALLAS, TX 75205-3553
- **Practice address phone:** (214) 526-8600
- **Practice address fax:** (214) 443-3897
- **Mailing address:** 4809 COLE AVE STE 110, DALLAS, TX 75205-3553
- **Mailing address phone:** (214) 526-8600
- **Mailing address fax:** (214) 443-3897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | H0463 | TX | Yes |

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 04/17/2009