| Legends Medical Clinic Pllc | |
|
3000 Joe Dimaggio Blvd Suite 65 Round Rock TX 78664-3990 | |
| (512) 733-6464 | |
| Not Available |
| Full Name | Legends Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3000 Joe Dimaggio Blvd, Round Rock, Texas |
| Authorized Official Name and Position | Xuan Kim Tran (PRESIDENT) |
| Authorized Official Contact | 5127336464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legends Medical Clinic Pllc 3000 Joe Dimaggio Blvd Suite 65 Round Rock TX 78664-3990 Ph: (512) 733-6464 | Legends Medical Clinic Pllc 3000 Joe Dimaggio Blvd Suite 65 Round Rock TX 78664-3990 Ph: (512) 733-6464 |
| NPI Number | 1174721948 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 05/23/2008 |
| Medicare PECOS PAC ID | 9133204571 |
|---|---|
| Medicare Enrollment ID | O20080311000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174721948 | NPI | - | NPPES |
| 0038PX | Other | TX | BCBS OF TEXAS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L8982 (Texas) | Primary |
| Provider Name | Xuan Kim Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134174881 PECOS PAC ID: 4385608645 Enrollment ID: I20041116000875 |
Lone Star Circle Of Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Ih 35 N, Suite 109, Round Rock, TX 78664 Phone: 512-733-2100 Fax: 512-733-2101 | |
Grace P Tamesis Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16010 Park Valley Dr Ste 300, Grace P. Tamesis Md Pa, Round Rock, TX 78681 Phone: 737-203-9645 Fax: 737-203-9646 | |
Sri Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Round Rock Ave Ste 202, Round Rock, TX 78681 Phone: 512-788-0627 | |
Sage Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Hesters Crossing, 200, Round Rock, TX 78681 Phone: 512-244-0446 | |
Austin And Round Rock Travel And Infectious Diseases Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Seton Pkwy, Suite 402, Round Rock, TX 78665 Phone: 512-324-4818 | |
Building A Stronger Community Tomorrow Through The Children Of Today Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 N Mays St, #430, Round Rock, TX 78664 Phone: 512-255-5120 Fax: 512-255-5268 | |
Shane B. Mills, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15930 S Great Oaks Dr, A-200, Round Rock, TX 78681 Phone: 512-246-3338 Fax: 512-346-3368 |