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Organization
LEGENDS MEDICAL CLINIC PLLC
Active
Organization
LEGENDS MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XUAN KIM TRAN M.D. (PRESIDENT)
(512) 733-6464
Entity
Organization
Contact information
Practice address
3000 JOE DIMAGGIO BLVD, SUITE 65, ROUND ROCK, TX 78664-3990
(512) 733-6464
Mailing address
3000 JOE DIMAGGIO BLVD, SUITE 65, ROUND ROCK, TX 78664-3990
(512) 733-6464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L8982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038PX
BCBS OF TEXAS GROUP #
TX
Enumeration date
07/03/2007
Last updated
05/23/2008
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