LEGACY VASCULAR LABS OF AMERICA LLC (NPI# 1497374730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497374730 |
| Entity Type | Organization |
| Organization Name | LEGACY VASCULAR LABS OF AMERICA LLC |
| Practice Address |
7711 San Jacinto Pl Ste 200 Plano TX 75024-3296 |
| Mailing Address |
Po Box 191634 Dallas TX 75219-8503 |
| Practice Telephone | 2816204880 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | HARRISON COLT CLAYPOOLE (MANAGER) |
| Authorized Official Telephone | 2816204880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
7711 SAN JACINTO PL STE 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277420 | Resolute Specialty Imaging | Clinic/Center | 7711 San Jacinto Pl Ste 200, Plano, TX 75024-3296 | 2017-07-11 |
| 1770107898 | Legacy Vascular Labs of America Pllc | Surgery | 7711 San Jacinto Pl Ste 200, Plano, TX 75024-3296 | 2020-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1730450115 | Texas Phlebology Pa | Surgery | 6149 Windhaven Pkwy, Suite 130, Plano, TX 75093-8274 | 2012-01-18 |
| 1043416316 | Joseph Matthew Liechty | Surgery | 4716 Alliance Blvd Ste 200, Plano, TX 75093-5306 | 2007-06-25 |
| 1578521662 | Ramaswamy Ravi Kumar | Surgery | 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 | 2006-05-01 |
| 1003893728 | Jerome G Naifeh | Surgery | 6300 W Parker Rd Ste 420, Plano, TX 75093-8134 | 2005-12-22 |
| 1770107898 | Legacy Vascular Labs of America Pllc | Surgery | 7711 San Jacinto Pl Ste 200, Plano, TX 75024-3296 | 2020-06-04 |
| 1427682426 | Spine Exposure Associates, Pllc | Surgery | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2020-02-28 |
| 1538703525 | Plano Professional Associates Pllc | Surgery | 5316 W Plano Pkwy, Plano, TX 75093-4821 | 2019-11-01 |
| 1619523214 | Nortex Medical Group | Surgery | 7000 Preston Rd Ste 1500, Plano, TX 75024-2512 | 2019-08-11 |
| 1417215120 | Arash Mohajer Shirvani | Surgery | 4716 Alliance Blvd Ste 200, Plano, TX 75093-5306 | 2012-05-01 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.