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John A. Iceton, MD
Specialist in Port Arthur, Texas
NPI 1770583858

John A. Iceton is a Specialist based in Port Arthur, TX. John A. Iceton practices in Port Arthur, TX and has the professional credentials of MD. The NPI Number for John A. Iceton is 1770583858 and holds a License No. H6857 (Texas).

The current practice location address for John A. Iceton is 2927 Park Plaza Ln, Port Arthur, TX and can be reached out via phone at 409-983-5178 and via fax at 409-983-6078.

Location: 2927 Park Plaza Ln, Port Arthur, TX, 77642-5516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770583858
Provider Name
John A. Iceton
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2927 Park Plaza Ln, Port Arthur, TX, 77642-5516
Phone Number
409-983-5178
Fax Number
409-983-6078
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H6857 01 TX MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2927 Park Plaza Ln
City
Port Arthur
State
Texas
Zip
77642-5516
Phone Number
409-983-5178
Fax Number
409-983-6078
person
Provider Business Mailing Address Details
Address
2927 Park Plaza Ln
City
Port Arthur
State
Texas
Zip
77642-5516
Phone Number
409-983-5178
Fax Number
409-983-6078
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H6857 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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