| NPI | 1275924680 |
|---|---|
| Doing Business As | LEGACY PAIN AND REGENERATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TRACE LAWRENCE ALEXANDER Owner 972-899-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2020-07-24 |