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LEGACY INTEGRATIVE HEALTH NPI 1386101855


NPI Information

NPI: 1386101855
Provider Name: LEGACY INTEGRATIVE HEALTH
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8900 OHIO DR STE B
PLANO, TX
ZIP 75024
Phone: (469) 362-8701
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LEGACY INTEGRATIVE HEALTH is a general practice in Plano, TX. LEGACY INTEGRATIVE HEALTH NPI is 1386101855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8900 OHIO DR STE B
PLANO, TX
ZIP 75024-262
Phone: (469) 362-8701
Fax: (469) 562-0059

The provider's authorized official is Logan J Mills .
The authorized official title is Owner and has the following contact phone number (469) 362-8701.

The enumeration date for this NPI number is 2/21/2019 and was last updated on 2/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11356740740MEDICAIDTEXAS
21710008966MEDICAIDTEXAS
31477679926MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.