Provider Demographics
NPI:1790958353
Name:ION OF THE WOODLANDS LLC
Entity Type:Organization
Organization Name:ION OF THE WOODLANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:804-794-9290
Mailing Address - Street 1:9011 ARBORETUM PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3476
Mailing Address - Country:US
Mailing Address - Phone:804-794-9290
Mailing Address - Fax:804-794-9290
Practice Address - Street 1:4840 W PANTHER CREEK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3527
Practice Address - Country:US
Practice Address - Phone:281-681-2211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ION HEALTHCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-03
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies