LEGACY BEHAVIORAL HEALTH & WELLNESS NPI 1528733359

NPI Information

NPI: 1528733359
Provider Name: LEGACY BEHAVIORAL HEALTH & WELLNESS
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8105 RASOR BLVD STE 248
PLANO, TX
ZIP 75024
Phone: (469) 461-1557
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LEGACY BEHAVIORAL HEALTH & WELLNESS is a primary care nurse practitioner in Plano, TX. LEGACY BEHAVIORAL HEALTH & WELLNESS NPI is 1528733359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8105 RASOR BLVD STE 248
PLANO, TX
ZIP 75024-341
Phone: (469) 461-1557

The provider's authorized official is Mayra Cruz Koedam .
The authorized official title is Nurse Practitioner and has the following contact phone number (972) 900-8640.

The enumeration date for this NPI number is 8/13/2021 and was last updated on 8/13/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

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

NPI Synchronization or Removal

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