# ICON MEDICAL SUPPLIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedStar Orthopedic Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538394309
- **Authorized official:** MR. GREG YOUNG (PRINCIPAL)
- **Authorized official phone:** (214) 587-3760

## Contact information

- **Practice address:** 2300 MCDERMOTT RD STE 200-199, PLANO, TX 75025-7016
- **Practice address phone:** (214) 383-9105
- **Practice address fax:** (214) 383-9110
- **Mailing address:** 2300 MCDERMOTT RD STE 200-199, PLANO, TX 75025-7016
- **Mailing address phone:** (214) 383-9105
- **Mailing address fax:** (214) 383-9110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2009
- **Last updated:** 05/22/2009