Provider Demographics
NPI:1265990527
Name:LEGROS CHIROPRACTIC & REHAB, PLLC
Entity type:Organization
Organization Name:LEGROS CHIROPRACTIC & REHAB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGROS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:346-264-2463
Mailing Address - Street 1:21927 CLAY RD, SUITE 700
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449
Mailing Address - Country:US
Mailing Address - Phone:346-264-2463
Mailing Address - Fax:
Practice Address - Street 1:21927 CLAY RD, SUITE 700
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449
Practice Address - Country:US
Practice Address - Phone:346-264-2463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty