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Legacy Physicians Group, LLC

Clinical Nurse Specialist, Rehabilitation in Frisco, TX. Organization (NPI-2).

NPI number1356687362
StatusActive
Last updated in NPPESMar 13, 2013

Details

NPI
1356687362
Entity type
Organization (NPI-2)
Legal business name
Legacy Physicians Group, LLC
Organization subpart
No
Enumeration date
Dec 19, 2012
Last updated
Mar 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SR0400X Clinical Nurse Specialist, Rehabilitation––Yes

Practice location

7460 Warren Pkwy
160
Frisco, TX 75034

Phone 972-668-5400 · Fax 972-668-5401

Mailing address

7460 Warren Pkwy
160
Frisco, TX 75034

Phone 972-668-5400 · Fax 972-668-5401

Authorized official

Vivek Sastry
Owner/President
9726685400

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