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General NPI Number Information
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NPI Number | 1407783103
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Entity Type | Organization
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Legal Business Name | RIVER OAKS LEGACY CORP
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 105 N GREENVILLE AVE STE 6
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City | ALLEN
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State | TX
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Zip | 75002-2295
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Country | US
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Telephone | 972-787-0037
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Fax | 972-767-0531
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Provider Business Mailing Address
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Address Line | 818 ROLLING MEADOWS CT
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City | ALLEN
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State | TX
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Zip | 75013-5464
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Country | US
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Telephone | 979-492-3309
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JARVIS JONES
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Credential |
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Telephone | 979-492-3309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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