| NPI | 1225892631 |
|---|---|
| Doing Business As | LEGENT HILL COUNTRY ASC |
| Entity Type | Organization |
| Authorized Contact | JORDAN FOWLER CEO 917-216-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |