ICONIQ SPINE & ORTHOPAEDIC CENTER PLLC

FORT WORTH, TX
NPI1982440426
Doing Business AsHOLISTIQ SPINE & ORTHOPAEDIC CLINIC
Entity TypeOrganization
Authorized ContactTRUNG VAN HA
Authorized Official
469-444-7246
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-07-03
Last Update Date2024-07-03
Business Address
ICONIQ SPINE & ORTHOPAEDIC CENTER PLLC
817 W TUCKER ST
FORT WORTH, TX 76104-2236
Phone number: 469-444-7246
Mailing Address
ICONIQ SPINE & ORTHOPAEDIC CENTER PLLC
4441 W AIRPORT FWY STE 215
IRVING, TX 75062-5959
Phone number: