LEGACY PHYSIATRY GROUP LOUISIANA, LLC

BATON ROUGE, LA
NPI1144616558
Doing Business AsLEGACY PHYSIATRY GROUP
Entity TypeOrganization
Authorized ContactVIVEK SASTRY
President/CEO
972-372-1663
Organization Subpart ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Additional Taxonomies207R00000X Internal Medicine
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2015-04-13
Last Update Date2015-04-13
Business Address
LEGACY PHYSIATRY GROUP LOUISIANA, LLC
301 MAIN ST STE 2200
BATON ROUGE, LA 70801-1919
Phone number: 225-224-6426
Mailing Address
LEGACY PHYSIATRY GROUP LOUISIANA, LLC
850 CENTRAL PKWY E SUITE 275
PLANO, TX 75074-5561
Phone number: 972-372-1663
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