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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