Legends Medical Clinic Pllc

LBN: Legends Medical Clinic Pllc
Legends Medical Clinic Pllc is an health care organization with primary practice located at 3000 Joe Dimaggio Blvd Suite 65, Round Rock TX 78664-3990. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Legends Medical Clinic Pllc can be contacted via phone (512) 733-6464, or through Tran, Xuan Kim via phone (512) 733-6464.

Contact Information

Primary practice address
3000 Joe Dimaggio Blvd Suite 65 Round Rock TX 78664-3990
Phone: (512) 733-6464
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tran, Xuan Kim Doctor of Medicine (MD)
Phone: (512) 733-6464

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L8982 Texas

Profile Details

NPI number 1174721948
LBN Legal business name Legends Medical Clinic Pllc
DBA Doing business as
Authorized official Tran, Xuan Kim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2007
Last updated May 23rd, 2008 - about 16 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 1174721948 NPPES
Texas Other 0038PX BCBS OF TEXAS GROUP #

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