LEGACY TRAIL SURGERY CENTER LLC NPI 1518486091

NPI Information

  • NPI: 1518486091
  • Provider Name: LEGACY TRAIL SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • Address: 7211 PRESTON RD STE 2100
    PLANO, TX
    ZIP 75024
  • Phone: (469) 488-1000

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NPI Details

LEGACY TRAIL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Plano, TX. LEGACY TRAIL SURGERY CENTER, LLC NPI is 1518486091. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

7211 PRESTON RD STE 2100
PLANO, TX
ZIP 75024
Phone: (469) 488-1000

The provider's authorized official is Vanessa Walls .
The authorized official title is President, Northern Market and has the following contact phone number (214) 456-7000.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)

The enumeration date for this NPI number is 9/15/2017 and was last updated on 5/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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