Organization
ICON INDUSTRIES OF TEXAS, LLC
Active
Other names
Landmark Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT SHELTON BRATCHER M.DIV., LNFA (CEO)
(817) 881-7969
Entity
Organization
Contact information
Practice address
443 BLUFF RIDGE RD, WEATHERFORD, TX 76087-1516
(817) 881-7969
(817) 448-9083
Mailing address
443 BLUFF RIDGE RD, WEATHERFORD, TX 76087-1516
(817) 881-7969
(817) 448-9083
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
TX
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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