LEGACY TRAIL SURGERY CENTER NPI 1518486091

NPI Information

NPI: 1518486091
Provider Name: LEGACY TRAIL SURGERY CENTER

Doing Business As: LIVE OAK SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7211 PRESTON RD STE 2100
PLANO, TX
ZIP 75024
Phone: (469) 488-1000
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LEGACY TRAIL SURGERY CENTER is an ambulatory surgical clinic center in Plano, TX. LEGACY TRAIL SURGERY CENTER NPI is 1518486091. The provider is registered as an organization entity type.
The provider Is Doing Business As Live Oak Surgery Center.

The provider's business location address is:

7211 PRESTON RD STE 2100
PLANO, TX
ZIP 75024
Phone: (469) 488-1000

The provider's authorized official is Vanessa Walls .
The authorized official title is President, Northern Market and has the following contact phone number (214) 456-7000.

The enumeration date for this NPI number is 9/15/2017 and was last updated on 5/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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