Organization
AEON HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE RAE WILLINGHAM M.D. (OWNER)
(214) 526-8600
Entity
Organization
Contact information
Practice address
4809 COLE AVE STE 110, DALLAS, TX 75205-3553
(214) 526-8600
(214) 443-3897
Mailing address
4809 COLE AVE STE 110, DALLAS, TX 75205-3553
(214) 526-8600
(214) 443-3897
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
H0463
TX
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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