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Organization
LEGENT HILL COUNTRY ASC, LLC
Active
Organization
LEGENT HILL COUNTRY ASC, LLC
Active
Other names
Legent Hill Country ASC
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN FOWLER (CEO)
(917) 216-6285
Entity
Organization
Contact information
Practice address
811 S. MILAM STREET, FREDERICKSBURG, TX 78624
(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
02/07/2024
Last updated
02/07/2024
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