| NPI | 1669869939 |
|---|---|
| Doing Business As | LEGACY PHYSIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | MARILYN J MEARON Billing Manager 972-881-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-10-27 |