ICON INDUSTRIES OF TEXAS, LLC (NPI# 1942362165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942362165 |
| Entity Type | Organization |
| Organization Name | ICON INDUSTRIES OF TEXAS, LLC |
| Other Organization Name | LANDMARK PHYSICIANS GROUP |
| Practice Address |
443 Bluff Ridge Rd Weatherford TX 76087-1516 |
| Practice Telephone | 8178817969 |
| Practice Fax Number | 8174489083 |
| Mailing Telephone | 8178817969 |
| Mailing Fax Number | 8174489083 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRETT SHELTON BRATCHER (CEO) |
| Authorized Official Telephone | 8178817969 |
| Authorized Official Credential | M.DIV., LNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Landmark Physicians Group | Doing Business As Name - Organization |
| Street Address |
443 BLUFF RIDGE RD |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76087-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264844 | Archstone Dental - Aledo Pllc | Dentist | 103 Willow Bend Drive, Ste 100, Willow Park, TX 76087 | 2020-04-24 |
| 1265072680 | Thrive Behavior Centers LLC | Behavioral Analyst | 161 Jd Towles Dr, Willow Park, TX 76087 | 2020-01-14 |
| 1467004192 | Dentists of Hudson Oaks and Orthodontics, PC | Dentist | 100 Hudson Oaks Drive, Suite 126, Hudson Oaks, TX 76087 | 2019-07-12 |
| 1184180846 | James E Sorensen | Chiropractor | 5177 Interstate-20 Frontage Rd., Suite 122, Willow Park, TX 76087 | 2019-02-18 |
| 1194298380 | H-e-b, Lp | Clinical Medical Laboratory | 100 Hudson Oaks Dr., Hudson Oaks, TX 76087 | 2019-01-10 |
| 1952886053 | Shannon Grace Howard | Speech-Language Pathologist | 300 Crown Pointe Blvd, Willow Park, Willow Park, TX 76087 | 2018-09-25 |
| 1831604073 | Tom Annunziato, Od PC | Optometrist | 225 Shops Blvd, Suite 102, Willow Park, TX 76087 | 2017-12-11 |
| 1457873309 | Julia Diane Sims | Music Therapist | 107 Manor Ct. N., Willow Park, TX 76087 | 2017-07-12 |
| 1255851770 | Zee Smile Dental Inc | Clinic/Center | 5189 E Interstate 20 Service Rd S, 102, Willow Park, TX 76087 | 2017-06-26 |
| 1336675743 | Diana Hamilton | Psychologist | 4971 East Interstate Service Road North, Willow Park, TX 76087 | 2017-05-04 |
| Find all providers in zip 76087 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262570 | Holly Joyce Carlstrand | Nurse Practitioner | 18 Carmel Chase Ct, Manvel, TX 77578-3452 | 2020-10-13 |
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1104423300 | Donna Ann Ford | Nurse Practitioner | 1605 Turtle Dr, San Angelo, TX 76904-7708 | 2020-10-01 |
| 1497361653 | Alexis Jolivet | Nurse Practitioner | 8706 Shiloh St, Texas City, TX 77591-2327 | 2020-09-22 |
| 1851906960 | Ann Nnenna Ugbeme | Nurse Practitioner | 1601 Lisburn Dr, Mckinney, TX 75071-3357 | 2020-09-15 |
| 1528673233 | Lashika R Meanus | Nurse Practitioner | 10501 Matador Dr, Mckinney, TX 75072-2952 | 2020-09-10 |
| 1700498391 | Raphael Udalor | Nurse Practitioner | 3631 Campfield Ct, Katy, TX 77449-8621 | 2020-08-17 |
| 1326664020 | Tasha Samantha Leonard | Nurse Practitioner | 622 Orlandis Ln, Rosenberg, TX 77469-5084 | 2020-06-19 |
| 1962025171 | Shewana Spencer | Nurse Practitioner | 613 W Bluff St, Woodville, TX 75979-5125 | 2020-05-21 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | WEATHERFORD |
| Zip Code | 76087 |
Please comment or provide details below to improve the information on ICON INDUSTRIES OF TEXAS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.