Legacy Medical Group, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

LEGACY MEDICAL GROUP, PLLC

Practice address

2023 W McDermott Dr Ste 240
Allen, TX 75013-4679

Phone

(972) 999-1659

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

David Clark

Title

Admin

Phone

(972) 999-1659

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1659190973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MCDERMOTT RD STE 200-279",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750257016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W MCDERMOTT DR STE 240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134679",
            "telephone_number": "972-999-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "972-999-1659"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaytie Lee, LPC
• Mary F Lee, M.ED, LPC, LMFT,
• Monique Lee, LCSW
• Ralph Lee, PT, DPT
• Young S Lee
• Legacy Orthopedics PLLC
• Legendary Heights LLC
• Danielle Nicole Leger
• Amy M Lenhart, MA, LPC-S
• Colleen M Lenz, O.D.

• Interventional Pain Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.