Active NPI
Group Surgical Partners Integrated LLC
Doing business as Legent Outpatient Surgery - Frisco
- Ambulatory Surgical Clinic/Center
- Frisco, TX
National Provider Identifier
1053835983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GROUP SURGICAL PARTNERS INTEGRATED LLC
- Doing business as
- Legent Outpatient Surgery - Frisco
- Practice address
- 8350 Dallas Pkwy Ste 100
Frisco, TX 75034-5076 - Phone
- (469) 287-8500
- Fax
- (214) 494-4414
- NPI assigned
- Aug 2, 2017
- Last updated
- Dec 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Fowler
- Title
- Ceo
- Phone
- (917) 216-6285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | TX | Primary |
Addresses
Primary practice location
8350 Dallas Pkwy Ste 100
Frisco, TX 75034-5076
Mailing address
8350 Dallas Pkwy Ste 100
Frisco, TX 75034-5076
Phone (469) 287-8500
Other names 1
- Legent Outpatient Surgery - Frisco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181023000112 | TX | Part B Supplier - Ambulatory Surgical Center | 4486907359 | Practice locations: Frisco, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Group Surgical Partners Integrated LLC Dba Legent Outpatient Surgery Frisco
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2085335 | Legent Outpatient Surgery - Frisco | Certificate of waiver | Oct 9, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Neurological Surgery Physician
- Lewisville, TX
- NPI 1982127627
Member Of
Locations
8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310
8350 Dallas Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 362-8433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1053835983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 DALLAS PKWY STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750345076",
"telephone_number": "469-287-8500",
"fax_number": "817-507-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 DALLAS PKWY STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750345076",
"telephone_number": "469-287-8500",
"fax_number": "214-494-4414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROUP SURGICAL PARTNERS INTEGRATED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-02",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "FOWLER",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-216-6285"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legent Outpatient Surgery - Frisco",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.