Organization
ICON PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE DUNCAN CRNFA (DIRECTOR)
(469) 248-0899
Entity
Organization
Contact information
Practice address
11970 N CENTRAL EXPY, SUITE 500, DALLAS, TX 75243-3768
(469) 248-0899
(210) 547-9235
Mailing address
PO BOX 195249, DALLAS, TX 75219-8604
(469) 248-0899
(210) 547-9235
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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