Individual
DR. ROBERT H LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 E COLLEGE AVE, SAN ANGELO, TX 76903-5902
(325) 655-4164
Mailing address
211 E COLLEGE AVE, SAN ANGELO, TX 76903-5902
(325) 655-4164
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E7162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AL86
BCBS
TX
05
—
089550001
—
TX
Enumeration date
07/07/2005
Last updated
07/06/2010
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