LEGACY MEDICAL GROUP PLLC NPI 1659190973

NPI Information

  • NPI: 1659190973
  • Provider Name: LEGACY MEDICAL GROUP, PLLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 2023 W MCDERMOTT DR STE 240
    ALLEN, TX
    ZIP 75013
  • Phone: (972) 999-1659

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NPI Details

LEGACY MEDICAL GROUP, PLLC is an interventional pain medicine pain medicine in Allen, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. LEGACY MEDICAL GROUP, PLLC NPI is 1659190973. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2023 W MCDERMOTT DR STE 240
ALLEN, TX
ZIP 75013-679
Phone: (972) 999-1659

The provider's authorized official is David Clark .
The authorized official title is Admin and has the following contact phone number (972) 999-1659.

The enumeration date for this NPI number is 10/3/2024 and was last updated on 1/26/2025.

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
1208VP0014XPain MedicineInterventional Pain MedicineYes

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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