OrganizationActive
Aeon Health, Inc.
NPI 1154564383 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Dallas, TX
Provider details
- NPI number
- 1154564383
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Irene Willingham, Owner
- License
- H0463 (TX)
Practice location
4809 Cole Ave Ste 110
Dallas, TX 75205-3553
Phone: (214) 526-8600
Fax: (214) 443-3897
Mailing address
4809 Cole Ave Ste 110
Dallas, TX 75205-3553
Registry dates
- Enumerated
- 2009-04-17
- Last updated
- 2009-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.