MEDICARE: PHILIP L. LEGGETT, MD, PLLC

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1164934436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILIP L. LEGGETT, MD, PLLC

Provider Business Mailing Address
First Line	:	800 PEAKWOOD DR STE 8B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 PEAKWOOD DR STE 8B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2904
Country	:	US
Telephone Number	:	281-580-6797
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DENISE MORVANT
Credential	:
Telephone Number	:	281-580-6797

Provider Enumeration Date	:	10/26/2017
Last Update Date	:	10/26/2017

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