Individual
REGINALD BRUCE LEGROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 N KAUFMAN ST, LINDEN, TX 75563-5234
(903) 756-5581
(903) 756-5005
Mailing address
404 N KAUFMAN ST, LINDEN, TX 75563-5234
(903) 756-5581
(903) 756-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G1944
TX
208000000X
Pediatrics Physician
G1944
TX
208D00000X
General Practice Physician
Primary
G1944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130943702
—
TX
Enumeration date
08/24/2005
Last updated
09/23/2013
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