Active NPIOrganization

Aeon Health, INC.

Neuromusculoskeletal Medicine, Sports Medicine in Dallas, Texas

NPI Number1154564383
Practice location
4809 Cole Ave Ste 110, Dallas, TX 75205-3553
Fax
214-443-3897
Last updated
April 17, 2009

Aeon Health, INC. is a healthcare organization based in Dallas, TX. The NPI number for Aeon Health, INC. is 1154564383 and holds license No. H0463 (TX). The current practice location address is 4809 Cole Ave Ste 110, Dallas, TX 75205-3553 and the office can be reached by phone at 214-526-8600 and by fax at 214-443-3897. The NPI was assigned on April 17, 2009 and the record was last updated in NPPES on April 17, 2009.

●Provider Profile Details

NPI Number
1154564383
Provider Name
Aeon Health, INC.
Entity Type
Organization (Type 2 NPI)
Organization Subpart
No
Authorized Official
Irene Rae Willingham, MD · Owner · 214-526-8600
Enumeration Date
April 17, 2009
Last Update Date
April 17, 2009
NPI Status
Active

◉Business Practice Location Address

Address
4809 Cole Ave Ste 110
Dallas, TX 75205-3553
City
Dallas
State
Texas
ZIP
75205-3553
Country
US
Phone Number
214-526-8600
Fax Number
214-443-3897

Get directions →

✉Business Mailing Address

Address
4809 Cole Ave Ste 110
Dallas, TX 75205-3553
City
Dallas
State
TX
ZIP
75205-3553
Phone Number
214-526-8600
Fax Number
214-443-3897

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Neuromusculoskeletal Medicine, Sports Medicine
193400000X - Single Specialty Group
204C00000XYesH0463TX

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Aeon Health, INC.?

The NPI number of Aeon Health, INC. is 1154564383. It was assigned on April 17, 2009 and is currently active in the NPPES registry.

What is the specialty of Aeon Health, INC.?

Aeon Health, INC. is registered under the primary taxonomy Neuromusculoskeletal Medicine, Sports Medicine (code 204C00000X) and holds license No. H0463 (TX).

Where does Aeon Health, INC. practice?

The practice location is 4809 Cole Ave Ste 110, Dallas, TX 75205-3553. The office can be reached at 214-526-8600 (phone) or 214-443-3897 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154564383 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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