Zachary T Legan
Oral & Maxillofacial Surgeon
1701 Moores Ln
Texarkana
, Texas 75503-1894
Zachary T Legan
Oral & Maxillofacial Surgeon
1701 Moores Ln
Texarkana
, Texas 75503-1894
(903) 794-3331
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Zachary T Legan
- 1701 Moores Ln
- Texarkana, TX
- Zip : 75503-1894
- Phone : (903) 794-3331
Second Address
- Zachary T Legan
- 1701 Moores Ln
- Texarkana, TX
- Zip : 75503-1894
- Phone : (903) 794-3331
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | R6819 | TX |
National Provider Identifier
| NPI | 1295026813 |
|---|---|
| Provider Name | Zachary T Legan |
| First Address | Texarkana, TX 75503-1894 |
| Second Address | Texarkana, TX 75503-1894 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2011 |
| Last Update Date | 04/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.