John A. Iceton is a Specialist in Port Arthur, Texas. John A. Iceton practices all healthcare services and medical treatments related to Specialist. The NPI Number for John A. Iceton is 1770583858. The last update date is 2023-03-07.
John A. Iceton's current location address is 2927 Park Plaza Ln, Port Arthur, Texas. You can contact this provider via phone number 4099835178 and fax number 4099836078. The mailing address for John A. Iceton is 2927 Park Plaza Ln, Port Arthur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John A. Iceton |
|---|---|
| Address | 2927 Park Plaza Ln, Port Arthur, Texas |
| Phone Number | 4099835178 |
| Fax Number | 4099836078 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770583858 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2927 Park Plaza Ln |
|---|---|
| City | Port Arthur |
| State | Texas (TX) |
| Post Code | 776425516 |
| Phone Number | 4099835178 |
| Fax Number | 4099836078 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | H6857 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H6857 | TX | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John A. Iceton by the Centers for Medicare & Medicaid Services?
The John A. Iceton has been assigned the NPI (National Provider Identifier) 1770583858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where John A. Iceton's facilities are geographically located?
The facilities of John A. Iceton are physically situated at the following location: 2927 Park Plaza Ln, Port Arthur, TX, 776425516.
What is John A. Iceton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John A. Iceton is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did John A. Iceton receive its 1770583858 assignment?
The John A. Iceton was assigned its 1770583858 on 2005-07-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding John A. Iceton most recently updated?
The details pertaining to the John A. Iceton, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.