# LEGACY PHYSICIANS GROUP, LLC

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

## Provider details

- **NPI number:** 1356687362
- **Authorized official:** VIVEK SASTRY (OWNER/PRESIDENT)
- **Authorized official phone:** (972) 668-5400

## Contact information

- **Practice address:** 7460 WARREN PKWY, 160, FRISCO, TX 75034
- **Practice address phone:** (972) 668-5400
- **Practice address fax:** (972) 668-5401
- **Mailing address:** 7460 WARREN PKWY, 160, FRISCO, TX 75034
- **Mailing address phone:** (972) 668-5400
- **Mailing address fax:** (972) 668-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SR0400X | Rehabilitation Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2012
- **Last updated:** 03/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 790980 | — | AZ |