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Organization
LEGACY PHYSIATRY GROUP LLC
Active
Organization
LEGACY PHYSIATRY GROUP LLC
Active
Other names
Legacy Physiatry Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATESH LAKSHMAN MD (OWNER/PRESIDENT)
(972) 881-4688
Entity
Organization
Contact information
Practice address
850 CENTRAL PKWY E STE 275, PLANO, TX 75074-5542
(972) 881-4688
(972) 668-5401
Mailing address
850 CENTRAL PKWY E, SUITE 275, PLANO, TX 75074
(972) 881-4688
(972) 668-5401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
10/05/2017
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