Legent Outpatient Surgery Euless, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LEGENT OUTPATIENT SURGERY EULESS, LLC

Doing business as

Legent Interventional Pain Center

Practice address

461 Westpark Way
Euless, TX 76040-3957

Phone

(817) 553-3627

Fax

(817) 553-3626

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Jordan Fowler

Title

President & Ceo

Phone

(817) 421-1066

Specialties & licenses 1

Addresses

Other names 1

• Legent Interventional Pain Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Eclipse Surgicare LLCCCN 45C0001548

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Longhorn Brain and Spine PLLC

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1053996447

  Member Of

  NPD member
• Mohammed U Shaikh MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
  • NPI 1073089124

  Member Of

  NPD member

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1972941714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-553-3627",
            "fax_number": "817-507-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-553-3627",
            "fax_number": "817-553-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENT OUTPATIENT SURGERY EULESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "817-421-1066"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legent Interventional Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlyn Renee Latham, LPC
• Brian T Le, D.D.S.
• Julie Trang Le, D.C
• Learning Links ABA
• Legend Healthcare Euless, LP
• Life Nurturing Health Agency
• Lift AIDS, Inc.
• Cathryn Ligon
• Heather Rachelle Lindstrom, PHD
• David K Livingstone, MD

• Ambulatory Surgical Clinic/Center in Euless, TX
• Providers in Euless, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.