Provider Demographics
NPI:1477994333
Name:NICON HEALTHCARE SERVICES,INC.
Entity Type:Organization
Organization Name:NICON HEALTHCARE SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:OKECHUKU
Authorized Official - Last Name:IBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-440-2085
Mailing Address - Street 1:3002 CREEK VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2890
Mailing Address - Country:US
Mailing Address - Phone:214-440-2085
Mailing Address - Fax:972-675-5421
Practice Address - Street 1:3002 CREEK VALLEY DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2890
Practice Address - Country:US
Practice Address - Phone:214-440-2085
Practice Address - Fax:972-675-5421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health