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Contact Information

LEGENT PHYSICIAN GROUP PLLC
4090 MAPLESHADE LN STE 210
PLANO, TX75093-0026
 Phone: 214-544-6290
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LEGENT PHYSICIAN GROUP PLLC

NPI Number 1265142038
LBN Legal business name LEGENT PHYSICIAN GROUP PLLC
Authorized official DANIEL BRAZELL - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2022
Last updated 01/09/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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