| Legent Physician Group Pllc | |
|
4090 Mapleshade Ln Ste 210 Plano TX 75093-0026 | |
| (214) 544-6290 | |
| Not Available |
| Full Name | Legent Physician Group Pllc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 4090 Mapleshade Ln Ste 210, Plano, Texas |
| Authorized Official Name and Position | Daniel Brazell (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3103396824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legent Physician Group Pllc 4090 Mapleshade Ln Ste 220 Plano TX 75093-0026 Ph: (817) 421-1066 | Legent Physician Group Pllc 4090 Mapleshade Ln Ste 210 Plano TX 75093-0026 Ph: (214) 544-6290 |
| NPI Number | 1265142038 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 01/09/2026 |
| Medicare PECOS PAC ID | 5294104949 |
|---|---|
| Medicare Enrollment ID | O20221220000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265142038 | NPI | - | NPPES |
| Provider Name | David Scott Biediger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275679441 PECOS PAC ID: 1658390794 Enrollment ID: I20051117000353 |
| Provider Name | Rebecca Stachniak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669485025 PECOS PAC ID: 9830291277 Enrollment ID: I20070305000100 |
| Provider Name | Jordan J Jude |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255533451 PECOS PAC ID: 8426157538 Enrollment ID: I20080822000382 |
| Provider Name | Robert Gordon Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689675142 PECOS PAC ID: 0042229833 Enrollment ID: I20100427000243 |
| Provider Name | Brian N Kanz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184815367 PECOS PAC ID: 5294981742 Enrollment ID: I20120815000828 |
| Provider Name | Brandon Phillip Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154932630 PECOS PAC ID: 8820405723 Enrollment ID: I20210319001425 |
| Provider Name | Rosalino Evier Lara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427833292 PECOS PAC ID: 2163886011 Enrollment ID: I20230912001294 |
| Provider Name | Justin Anthony Riojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942762232 PECOS PAC ID: 2163881509 Enrollment ID: I20240216000906 |
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Jeffrey C. Komenda, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Suite 100, Plano, TX 75093 Phone: 972-608-1868 Fax: 972-943-8644 | |
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William R Sheldon, Jr., Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5930 W Parker Rd, #700, Plano, TX 75093 Phone: 972-943-7626 Fax: 972-608-5223 | |
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