| Ilacone Group Incorporated | |
|
2121 Business Center Dr Pearland TX 77584-2153 | |
| (346) 907-3000 | |
| Not Available |
| Full Name | Ilacone Group Incorporated |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2121 Business Center Dr, Pearland, Texas |
| Authorized Official Name and Position | Roger G Joe (PRESIDENT) |
| Authorized Official Contact | 8323458141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilacone Group Incorporated Po Box 1537 Sugar Land TX 77487-1537 Ph: (346) 200-5909 | Ilacone Group Incorporated 2121 Business Center Dr Pearland TX 77584-2153 Ph: (346) 907-3000 |
| NPI Number | 1295076552 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 02/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295076552 | NPI | - | NPPES |
| 12474223 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | P4322 (Texas) | Primary |
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