Reginald Bruce Legrow, MD is a
General Practice physician based in Linden, Texas. Reginald Bruce Legrow is licensed to practice in Texas (license number G1944) and his current practice location is 402 N Kaufman St, Linden, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 756-5581.
NPI number for Reginald Bruce Legrow is 1790778819 and his current mailing address is 404 N Kaufman St, Linden, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790778819.
Physician's Profile
| Full Name | Reginald Bruce Legrow |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 402 N Kaufman St, Linden, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790778819
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 09/23/2013
Medical Identifiers
Medical identifiers for Reginald Bruce Legrow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790778819 | NPI | - | NPPES |
| 130943702 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | G1944 (Texas) | Secondary |
| 207Q00000X | Family Medicine | G1944 (Texas) | Secondary |
| 208D00000X | General Practice | G1944 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Reginald Bruce Legrow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Reginald Bruce Legrow, MD
404 N Kaufman St,
Linden, TX 75563-5234
Ph: (903) 756-5581 | Reginald Bruce Legrow, MD
402 N Kaufman St,
Linden, TX 75563-5234
Ph: (903) 756-5581 |
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