| NPI | 1467830349 |
|---|---|
| Doing Business As | LEGACY PHYSIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | VIVEK SASTRY President/CEO 972-372-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |