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LEGENDS MEDICAL CLINIC PLLC
NPI 1174721948
Family Medicine in Round Rock, TX

Active since July 03, 2007CLIA 45D1070980 · Microscopy
3000 JOE DIMAGGIO BLVD, SUITE 65, ROUND ROCK, TX 78664(512) 733-6464 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Legends Medical Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGENDS MEDICAL CLINIC PLLC (NPI 1174721948) is a healthcare organization registered as a family medicine in Round Rock, Texas and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through July 15, 2027 and lists Xuan Kim Tran, President, as its authorized official.

NPPES Registry Identity

NPI1174721948
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEGENDS MEDICAL CLINIC PLLC
Location Address3000 JOE DIMAGGIO BLVD, SUITE 65Round Rock, TX 78664-3990
Mailing Address3000 Joe Dimaggio Blvd, Suite 65Round Rock, TX 78664-3990 · (512) 733-6464
Phone(512) 733-6464
Organization SubpartNo
Authorized OfficialXuan Kim TranPresident · (512) 733-6464
Enumeration DateJuly 3, 2007
Last NPPES UpdateMay 23, 2008
✔ NPI 1174721948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L8982
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3000 JOE DIMAGGIO BLVD, Round Rock, TX 78664
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Other Identifiers 2

Medicare PIN00Y623TX
Other0038PXTX · Bcbs Of Texas Group #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1070980

Legends Medical Clinic PLLC · Round Rock, TX
Active · expires Jul 15, 2027
CLIA Number45D1070980
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorXuan K. Tran
Laboratory Phone(512) 733-6464
Laboratory LocationLegends Medical Clinic PLLC3000 Joe Dimaggio Suite 65, Round Rock, TX 78665
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEAH WILSON MCDILL PH.D.
Counselor (Professional)
3000 JOE DIMAGGIO BLVD, #88
ROUND ROCK, TX 78664
Williamson County (512) 964-3653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legends Medical Clinic PLLC's NPI number?

The NPI number for Legends Medical Clinic PLLC is 1174721948. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Legends Medical Clinic PLLC located?

Legends Medical Clinic PLLC is located at 3000 Joe Dimaggio Blvd Suite 65, Round Rock, TX 78664. The listed phone number is (512) 733-6464.

What is Legends Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Legends Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1070980) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Legends Medical Clinic PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Legends Medical Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legends Medical Clinic PLLC was last updated on May 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.