Icon Industries of Texas, LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

ICON INDUSTRIES OF TEXAS, LLC

Doing business as

Landmark Physicians Group

Practice address

443 Bluff Ridge Rd
Weatherford, TX 76087-1516

Phone

(817) 881-7969

Fax

(817) 448-9083

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brett Shelton Bratcher, M.DIV., LNFA

Title

Ceo

Phone

(817) 881-7969

Specialties & licenses 1

Addresses

Other names 1

• Landmark Physicians Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942362165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 BLUFF RIDGE RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760871516",
            "telephone_number": "817-881-7969",
            "fax_number": "817-448-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 BLUFF RIDGE RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760871516",
            "telephone_number": "817-881-7969",
            "fax_number": "817-448-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON INDUSTRIES OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRATCHER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "SHELTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-881-7969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.DIV., LNFA"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maribel Huizar
• Sheri Anne Hull, DO
• Kelly Hunt, PT
• Sarah Murphy Hutcheson, PA-C
• Isabella Kathleen Hutchinson
• Idc Operations, LP (Surgery Center at Park City Medical Complex)
• Inner Peace Counseling & Wellness
• Integracare of Texas, LLC (CenterWell Home Health)
• J Steven Welch DO PA
• Asia N Jackson, D.P.M

• Gerontology Nurse Practitioner in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.