| NPI | 1841967064 |
|---|---|
| Doing Business As | LEGACY PHYSIATRY GROUP NC |
| Entity Type | Organization |
| Authorized Contact | VENKATESH LAKSHMAN CEO/President 972-881-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-01-05 |