# ICONIC USA HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1205268794
- **Authorized official:** TAURA STANSBERRY (PARTNER)
- **Authorized official phone:** (832) 282-7511

## Contact information

- **Practice address:** 6630 HORNWOOD DR, HOUSTON, TX 77074-5010
- **Practice address phone:** (832) 497-5770
- **Practice address fax:** (832) 497-5771
- **Mailing address:** 6630 HORNWOOD DR, HOUSTON, TX 77074-5010
- **Mailing address phone:** (832) 497-5770
- **Mailing address fax:** (888) 294-7945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2013
- **Last updated:** 12/23/2013