LEGENT OUTPATIENT SURGERY EULESS LLC NPI 1972941714

NPI Information

  • NPI: 1972941714
  • Provider Name: LEGENT OUTPATIENT SURGERY EULESS, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 45D2062701
  • Address: 461 WESTPARK WAY
    EULESS, TX
    ZIP 76040
  • Phone: (817) 553-3627

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NPI Details

LEGENT OUTPATIENT SURGERY EULESS, LLC is an ambulatory surgical clinic center in Euless, TX. LEGENT OUTPATIENT SURGERY EULESS, LLC NPI is 1972941714. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

461 WESTPARK WAY
EULESS, TX
ZIP 76040-957
Phone: (817) 553-3627
Fax: (817) 553-3626

The provider's authorized official is Jordan Fowler .
The authorized official title is President & Ceo and has the following contact phone number (817) 421-1066.

The CLIA number assigned to this NPI record is 45D2062701 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Fusion of spine in lower back (HCPCS:22612)
  • Fusion of pelvic joint using imaging guidance (HCPCS:27279)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)

The enumeration date for this NPI number is 6/13/2013 and was last updated on 11/5/2025.

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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