Organization
LEGEND BILLING NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RYAN NORTHCUTT (OWNER)
(817) 454-2584
Entity
Organization
Contact information
Practice address
9500 FEATHER GRASS LN STE 120-106, FORT WORTH, TX 76177-2505
(817) 454-2584
(972) 986-5304
Mailing address
9500 FEATHER GRASS LN STE 120-106, FORT WORTH, TX 76177-2505
(817) 454-2584
(972) 986-5304
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
—
—
208600000X
Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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