Organization
ICON HOSPITAL, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY BUTLER (DIRECTOR OF OPERATIONS)
(281) 359-3223
Entity
Organization
Contact information
Practice address
19211 MCKAY DR, HUMBLE, TX 77338-5502
(713) 660-0555
Mailing address
22751 PROFESSIONAL DR, KINGWOOD, TX 77339-6021
(281) 359-3223
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
08/20/2019
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