Organization
THE ICON FOR BALANCED HEALTH, LLC
Active
Other names
ICON WELLNESS CENTER AND MEDICAL SPA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT JOHNSTON MD (MEDICAL DIRECTOR)
(281) 724-0190
Entity
Organization
Contact information
Practice address
250 BLOSSOM ST, SUITE 100, WEBSTER, TX 77598-4204
(281) 724-0190
(281) 724-0191
Mailing address
250 BLOSSOM ST, SUITE 100, WEBSTER, TX 77598-4204
(281) 724-0190
(281) 724-0191
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
08/08/2008
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