LEGACY VASCULAR LABS OF AMERICA PLLC – NPI #1770107898
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

LEGACY VASCULAR LABS OF AMERICA PLLC is a surgeon located in PLANO, TX. NPPES has assigned the NPI number 1770107898 to LEGACY VASCULAR LABS OF AMERICA PLLC on June 04, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 4 years ago on Oct 18, 2022. 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 LEGACY VASCULAR LABS OF AMERICA PLLC below.

NPI Profile for
LEGACY VASCULAR LABS OF AMERICA PLLC

NPI Number
1770107898
Enumeration Date

(more than 6 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
LEGACY VASCULAR LABS OF AMERICA PLLC
Primary location
7711 SAN JACINTO PL STE 200
PLANO, TX 75024-3296
Phone: (972) 345-7890 Fax:
Mailing address
PO BOX 191634
DALLAS, TX 75219-8503
Phone: Fax:
Organization Subpart
No
Authorized Official
JOHN RYAN
MANAGING MEMBER
Phone: (972) 345-7890
Updated
Certification Date
Oct 18, 2022

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
2086S0129X
- Surgery / Vascular Surgery (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.