# LEGEND REHAB CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265649735
- **Authorized official:** PREM P GOGIA (PRESIDENT)
- **Authorized official phone:** (713) 776-3477

## Contact information

- **Practice address:** 10101 BISSONNET ST STE 120, HOUSTON, TX 77036-7855
- **Practice address phone:** (713) 776-3477
- **Practice address fax:** (713) 776-3502
- **Mailing address:** PO BOX 742685, HOUSTON, TX 77274-2685
- **Mailing address phone:** (713) 776-3477
- **Mailing address fax:** (713) 776-3502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 543450000 | TX | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 04/16/2009