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Organization
LEGENT ADVANCED ORTHOPEDIC INSTITUTE LLC
Active
Organization
LEGENT ADVANCED ORTHOPEDIC INSTITUTE LLC
Active
Other names
Legent Oak Creek Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN FOWLER (CEO)
(917) 216-6285
Entity
Organization
Contact information
Practice address
3107 OAK CREEK DR STE 120, AUSTIN, TX 78727-3025
(817) 421-1066
Mailing address
4090 MAPLESHADE LN STE 220, PLANO, TX 75093-0026
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
06/20/2024
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