MEDICARE: RJB LEGACY GROUP LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QV0200X	VA Clinic/Center
2	347E00000X	Transportation Broker
3	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1386588358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RJB LEGACY GROUP LLC

Provider Business Mailing Address
First Line	:	12606 BRIAR PATCH RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12606 BRIAR PATCH RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2306
Country	:	US
Telephone Number	:	281-635-2743
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT BROWN
Credential	:
Telephone Number	:	281-635-2743

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “RJB LEGACY GROUP LLC ” Practice Location

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