Provider Demographics
NPI:1568653061
Name:LEGERE, CLAUDIA L (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:L
Last Name:LEGERE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2900 N QUINLAN PARK RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-6083
Mailing Address - Country:US
Mailing Address - Phone:512-266-8877
Mailing Address - Fax:512-266-8850
Practice Address - Street 1:2900 N QUINLAN PARK RD
Practice Address - Street 2:SUITE 430
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-6083
Practice Address - Country:US
Practice Address - Phone:512-266-8877
Practice Address - Fax:512-266-8850
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2013-01-10
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Provider Licenses
StateLicense IDTaxonomies
TXN2171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN2171OtherTEXAS MEDICAL BOARD