Organization · Type 2 NPI

Legend Billing Network

Surgery Physician · Fort Worth, TX

NPI number 1497600118 Active

Practice location

9500 Feather Grass Ln Ste 120-106
Fort Worth, TX 76177-2505

Fax (972) 986-5304

Specialties and licenses

Taxonomy	Code	License
Registered Nurse First Assistant	163WR0006X	None listed
Surgery Physician Primary	208600000X	None listed
Surgical Physician Assistant	363AS0400X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1497600118

Legend Billing Network's National Provider Identifier is 1497600118, issued on Feb 27, 2026. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 27, 2026.