Legacy Physiatry Group Llc

LBN: Legacy Physiatry Group Llc
Legacy Physiatry Group Llc is an health care organization with primary practice located at 850 Central Pkwy E Ste 275 , Plano TX 75074-5542. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Legacy Physiatry Group Llc can be contacted via phone (972) 881-4688, or through Lakshman, Venkatesh via phone (972) 881-4688.

Contact Information

Primary practice address
850 Central Pkwy E Ste 275 Plano TX 75074-5542
Phone: (972) 881-4688
Fax: (972) 668-5401
Website:
Map and Directions
Authorized official contact:
Name: Lakshman, Venkatesh Doctor of Medicine (MD)
Phone: (972) 881-4688

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1316078769
LBN Legal business name Legacy Physiatry Group Llc
DBA Doing business as Legacy Physiatry Group Llc
Authorized official Lakshman, Venkatesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Oct 5th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316078769 NPPES
Texas MEDICAID 203548702
Texas MEDICAID 203548701
Texas Other D07564

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