LEGENDS MEDICAL CLINIC PLLC (NPI# 1174721948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174721948 |
| Entity Type | Organization |
| Organization Name | LEGENDS MEDICAL CLINIC PLLC |
| Practice Address |
3000 Joe Dimaggio Blvd Suite 65 Round Rock TX 78664-3990 |
| Practice Telephone | 5127336464 |
| Mailing Telephone | 5127336464 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | XUAN KIM TRAN (PRESIDENT) |
| Authorized Official Telephone | 5127336464 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L8982 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS GROUP # | 0038PX | 01 |
| Street Address |
3000 JOE DIMAGGIO BLVD SUITE 65 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-3990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134174881 | Xuan Kim Tran | Family Medicine | 3000 Joe Dimaggio Blvd, Suite 65, Round Rock, TX 78665-3990 | 2006-05-23 |
| 1629503453 | Brittney Jones | Marriage & Family Therapist | 3000 Joe Dimaggio Blvd, Round Rock, TX 78665-3922 | 2017-04-30 |
| 1447785324 | Linda Becker | Mechanotherapist | 3000 Joe Dimaggio Blvd, 29a, Round Rock, TX 78665-3922 | 2017-04-27 |
| 1073966750 | Rhonda Gilchrist Ma Lpc | Counselor | 3000 Joe Dimaggio Blvd, Building 17 Suite 62, Round Rock, TX 78665-3922 | 2016-07-19 |
| 1508226705 | Erika June Canales | Psychologist | 3000 Joe Dimaggio Blvd, Ste 3, Round Rock, TX 78665-3989 | 2016-03-01 |
| 1982062816 | Hill Country Ocd Treatment Center | Social Worker | 3000 Joe Dimaggio Blvd, Suite 66, Round Rock, TX 78665-3922 | 2016-02-06 |
| 1295108058 | Tyler Dreher | Chiropractor | 3000 Joe Dimaggio Blvd, Ste 73, Round Rock, TX 78665-3922 | 2015-11-02 |
| 1861891772 | Gardner Chiropractic: Family and Wellness Center, Pllc | Chiropractor | 3000 Joe Dimaggio Blvd, Ste 54, Round Rock, TX 78665-3922 | 2014-08-15 |
| 1316354269 | Doctor Joy Rincones Pllc | Chiropractor | 3000 Joe Dimaggio Blvd, Suite 95, Round Rock, TX 78665-3993 | 2014-07-11 |
| 1285069690 | Ambe Care Home Health LLC | Home Health | 3000 Joe Dimaggio Blvd, Unit 94, Round Rock, TX 78665-3922 | 2013-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969984 | Freedom Wound Physicians Pa | Family Medicine | 1 Chisholm Trail Rd Ste 215, Round Rock, TX 78681-5094 | 2020-07-09 |
| 1538516281 | Lauren Isbell | Family Medicine | 425 University Blvd # Msm23006, Round Rock, TX 78665-1053 | 2016-05-23 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1376908178 | Tmc Provider Group Pllc | Family Medicine | 4851 N Ih 35, Round Rock, TX 78664-2420 | 2015-12-21 |
| 1184039489 | Mayada Ali | Family Medicine | 1930 Rawhide Dr Ste 404, Round Rock, TX 78681-6955 | 2014-06-25 |
| 1447678792 | Laura Sue Kromann | Family Medicine | 4112 Links Ln Ste 201, Round Rock, TX 78664-3903 | 2014-04-03 |
| 1356684864 | Brigitte Ngo | Family Medicine | 16420 R R 620, Ste 104, Round Rock, TX 78681-5793 | 2013-04-03 |
| 1205184579 | Sabrina Bueno Uriegas | Family Medicine | 620 Round Rock West Dr, Building #8, Round Rock, TX 78681-5017 | 2012-08-17 |
| 1831325380 | Sarat Chandra Burri | Family Medicine | 1025 Sendero Springs Dr., Ste. 120, Round Rock, TX 78681 | 2009-06-10 |
| 1801052188 | Steve Ramirez | Family Medicine | 1800 S Aw Grimes Blvd, Round Rock, TX 78664 | 2008-08-06 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.