# ICON INDUSTRIES OF TEXAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Landmark Physicians Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942362165
- **Authorized official:** MR. BRETT SHELTON BRATCHER M.DIV., LNFA (CEO)
- **Authorized official phone:** (817) 881-7969

## Contact information

- **Practice address:** 443 BLUFF RIDGE RD, WEATHERFORD, TX 76087-1516
- **Practice address phone:** (817) 881-7969
- **Practice address fax:** (817) 448-9083
- **Mailing address:** 443 BLUFF RIDGE RD, WEATHERFORD, TX 76087-1516
- **Mailing address phone:** (817) 881-7969
- **Mailing address fax:** (817) 448-9083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | TX | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020