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Organization
LEGENT OUTPATIENT SURGERY EULESS, LLC
Active
Organization
LEGENT OUTPATIENT SURGERY EULESS, LLC
Active
Other names
Legent Interventional Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN FOWLER (PRESIDENT & CEO)
(817) 421-1066
Entity
Organization
Contact information
Practice address
461 WESTPARK WAY, EULESS, TX 76040-3957
(817) 553-3627
(817) 553-3626
Mailing address
461 WESTPARK WAY, EULESS, TX 76040-3957
(817) 553-3627
(817) 507-1800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
11/05/2025
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