Individual
LOUIS CRAIG LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP109190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002442401
—
TX
05
—
002442408
—
TX
05
—
136411001
—
AR
01
—
430047728
RAILROAD
—
01
—
81101H
BLUE CROSS
TX
01
—
8739UJ
BCBS
TX
01
—
98044
BLUE CROSS
AR
Enumeration date
07/14/2005
Last updated
03/28/2016
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