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Organization
LEGEND REHAB CENTER LLC
Active
Organization
LEGEND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREM P GOGIA (PRESIDENT)
(713) 776-3477
Entity
Organization
Contact information
Practice address
10101 BISSONNET ST STE 120, HOUSTON, TX 77036-7855
(713) 776-3477
(713) 776-3502
Mailing address
PO BOX 742685, HOUSTON, TX 77274-2685
(713) 776-3477
(713) 776-3502
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
543450000
TX
Other
Enumeration date
05/16/2007
Last updated
04/16/2009
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