NPI | 1497173801 |
---|---|
Doing Business As | LEGENT OUTPATIENT SURGERY - AUSTIN |
Entity Type | Organization |
Authorized Contact | JORDAN FOWLER CEO 917-216-6285 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130186) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2023-08-01 |