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Organization
ICON WELLNESS CENTER LLC
Active
Organization
ICON WELLNESS CENTER LLC
Active
Other names
ICON WELLNESS CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT JOHNSTON MD (MEDICAL DIRECTOR)
(281) 724-0190
Entity
Organization
Contact information
Practice address
250 BLOSSOM ST, SUITE 100, WEBSTER, TX 77598-4204
(281) 724-0190
Mailing address
250 BLOSSOM ST, SUITE 100, WEBSTER, TX 77598-4204
(281) 724-0190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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