MEDICARE: SARAH M LEGETT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	M2691	TX
2	2080H0002X	Pediatric Hospice and Palliative Medicine Physician	M2691	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912938630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH M LEGETT M.D.

Provider Business Mailing Address
First Line	:	1301 BARBARA JORDAN BLVD STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-3078
Country	:	US
Telephone Number	:	512-628-1890
Fax Number	:	512-628-1891

Provider Business Practice Location Address
First Line	:	4900 MUELLER BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-3079
Country	:	US
Telephone Number	:	512-324-0197
Fax Number	:	512-324-0780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/10/2012

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Directions to “ SARAH M LEGETT M.D.” Practice Location

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