LEGACY PHYSIATRY GROUP MISSOURI, LLC

SAINT LOUIS, MO
NPI1366838658
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 MISSOURI, LLC
3636 S GEYER RD 100
SAINT LOUIS, MO 63127-1237
Phone number: 972-372-1663
Mailing Address
LEGACY PHYSIATRY GROUP MISSOURI, LLC
850 CENTRAL PKWY E
PLANO, TX 75074-5561
Phone number: 972-372-1663