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Organization
LEGACY VASCULAR LABS OF AMERICA PLLC
Active
Organization
LEGACY VASCULAR LABS OF AMERICA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RYAN (MANAGING MEMBER)
(972) 345-7890
Entity
Organization
Contact information
Practice address
7711 SAN JACINTO PL STE 200, PLANO, TX 75024-3296
(972) 345-7890
Mailing address
PO BOX 191634, DALLAS, TX 75219-8503
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
10/18/2022
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