| NPI | 1457008609 |
|---|---|
| Doing Business As | LEGACY ENT |
| Entity Type | Organization |
| Authorized Contact | DANNY SHANE STEVENS CEO 512-989-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| 207YS0012X Otolaryngology, Sleep Medicine | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-12-05 |