Organization
LEGACY TRAIL SURGERY CENTER, LLC
Active
Other names
Live Oak Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA WALLS (PRESIDENT, NORTHERN MARKET)
(214) 456-7000
Entity
Organization
Contact information
Practice address
7211 PRESTON RD STE 2100, PLANO, TX 75024
(469) 488-1000
Mailing address
7211 PRESTON ROAD, PLANO, TX 75024
(469) 303-0104
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
05/23/2025
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