Legends Medical Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L8982 Issued in TX

Legal business name

LEGENDS MEDICAL CLINIC PLLC

Practice address

3000 Joe Dimaggio Blvd
Suite 65
Round Rock, TX 78664-3990

Phone

(512) 733-6464

NPI assigned

Jul 3, 2007

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xuan Kim Tran, M.D.NPI 1134174881

Title

President

Phone

(512) 733-6464

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11501/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xuan Kim Tran, MD

  • Family Medicine Physician
  • Round Rock, TX
  • NPI 1134174881
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1174721948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "SUITE 65",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643990",
            "telephone_number": "512-733-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "SUITE 65",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643990",
            "telephone_number": "512-733-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDS MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "XUAN",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-733-6464",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS GROUP #",
            "identifier": "0038PX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven D Lee
• Winifred Lee, LPC
• Yunkyung Lee, PHARM.D.
• Legacy Heart Care of Midtown Austin, LLC (Flow Therapy North Austin)
• Legacy Labs LLC (Veridia Diagnostics)
• Kristyn Briana Leija
• Jennifer Elaine Leininger Nicholson, M.D.
• Rebecca Floyd Leissner, PT, DPT
• Lemons 2 Lemonade Counseling PLLC
• Aidan Lengua

• Family Medicine Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.