MEDICARE: RICHARD H LEGGETT DO

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	207Q00000X	Family Medicine Physician	K4482	TX
2	208M00000X	Hospitalist Physician	K4482	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8G9706	OTHER	TX	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336162064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD H LEGGETT DO

Provider Business Mailing Address
First Line	:	2700 CITIZENS PLZ STE 100
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-5756
Country	:	US
Telephone Number	:	361-579-1371
Fax Number	:	855-437-3389

Provider Business Practice Location Address
First Line	:	2700 CITIZENS PLZ
Second Line	:	SUITE 100
City	:	VICTORIA
State	:	TX
Zip	:	77901-5754
Country	:	US
Telephone Number	:	361-579-1371
Fax Number	:	361-579-1373

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	05/20/2026

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Directions to “ RICHARD H LEGGETT DO” Practice Location

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