Iconiq Spine & Orthopaedic Center Pllc
Interventional Pain Medicine
4441 W Airport Fwy Ste 215, Irving
Texas, 75062-5959
469-444-7246 469-440-2667
Iconiq Spine & Orthopaedic Center Pllc is a Interventional Pain Medicine in Irving, Texas. It is located at 4441 W Airport Fwy Ste 215, Irving and it's customer support contact number is 469-444-7246. The authorized person of Iconiq Spine & Orthopaedic Center Pllc is Trung Ha, MD who is Ceo of this DME and his contact number is 469-444-7246. Iconiq Spine & Orthopaedic Center Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Iconiq Spine & Orthopaedic Center Pllc is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
DME Supplier Details:
Iconiq Spine & Orthopaedic Center Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Iconiq Spine & Orthopaedic Center Pllc |
| Type: | Interventional Pain Medicine |
| Location: | 4441 W Airport Fwy Ste 215, Irving,
Texas, 75062-5959 |
| Phone: | 469-444-7246 |
| Fax: | 469-440-2667 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Trung Ha |
| Credentials: | MD |
| Position: | Ceo |
| Contact Number: | 469-444-7246 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1578279238 |
| NPI Enumeration Date: | 26 Jan, 2023 |
| NPI Last Update On: | 09 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Iconiq Spine & Orthopaedic Center Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Interventional Pain Medicine | | | Primary | |
| Pain Medicine | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1780936971 | Other | Texas | Cash |
Medicare Enrollment:
Iconiq Spine & Orthopaedic Center Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3476902719 | O20231212000727 | Iconiq Spine & Orthopaedic Center, Pllc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 3476902719 | O20240418002351 | Iconiq Spine & Orthopaedic Center, Pllc | DME SUPPLIER - PHYSICIAN - INTERVENTIONAL PAIN MANAGEMENT |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4441 W Airport Fwy Ste 215,
Irving, Texas |
| Zip: | 75062-5959 |
| Phone Number: | -- |
Patients can reach Iconiq Spine & Orthopaedic Center Pllc at
4441 W Airport Fwy Ste 215, Irving, Texas or can
call on customer care at 469-444-7246.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.