Organization
ICON SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD J ROBINSON JR. PA-C (PRESIDENT)
(214) 227-2457
Entity
Organization
Contact information
Practice address
1901 MILLER RD, ROWLETT, TX 75088-5604
(214) 227-2457
(214) 764-0880
Mailing address
1901 MILLER RD, ROWLETT, TX 75088-5604
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA05702
TX
Other
Enumeration date
08/15/2013
Last updated
12/06/2022
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