| NPI | 1972941714 |
|---|---|
| Doing Business As | LEGENT INTERVENTIONAL PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | JORDAN FOWLER President & CEO 817-421-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2023-08-01 |