LEGENT OAK CREEK SURGERY CENTER – NPI #1225803562
Clinic/Center

LEGENT OAK CREEK SURGERY CENTER is an AHC clinic located in AUSTIN, TX. NPPES has assigned the NPI number 1225803562 to LEGENT OAK CREEK SURGERY CENTER on November 16, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LEGENT OAK CREEK SURGERY CENTER” is a dba name, the actual legal business name for this organization is LEGENT ADVANCED ORTHOPEDIC INSTITUTE LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jun 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGENT OAK CREEK SURGERY CENTER below.

NPI Profile for
LEGENT ADVANCED ORTHOPEDIC INSTITUTE LLC

NPI Number
1225803562
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGENT ADVANCED ORTHOPEDIC INSTITUTE LLC
Doing Business As (dba): LEGENT OAK CREEK SURGERY CENTER
Primary location
3107 OAK CREEK DR STE 120
AUSTIN, TX 78727-3025
Phone: (817) 421-1066 Fax:
Mailing address
4090 MAPLESHADE LN STE 220
PLANO, TX 75093-0026
Phone: Fax:
Organization Subpart
No
Authorized Official
JORDAN FOWLER
CEO
Phone: (917) 216-6285
Updated
Certification Date
Jun 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.