NPI 1154564383

Aeon Health, INC.

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Dallas, TX

Practice location

Address: 4809 Cole Ave STE 110, Dallas, TX 75205-3553
Phone: (214) 526-8600
Fax: (214) 443-3897

Authorised official

Name: Irene Rae Willingham
Title: Owner
Phone: (214) 526-8600

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence H0463 (TX)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Texas →

Registry record

NPI: 1154564383
Entity type: Organization
NPI issued: 17 Apr 2009
Record last updated: 17 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.