| Legacy Community Health(closed) | |
|
3311 Richmond Ave(closed) Suite 100 Houston TX 77098-3018 | |
| (832) 548-5000 | |
| (713) 523-4897 |
| Full Name | Legacy Community Health(closed) |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3311 Richmond Ave(closed), Houston, Texas |
| Authorized Official Name and Position | Katy Caldwell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7138303038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Community Health(closed) Po Box 66308 Houston TX 77266-6308 Ph: () - | Legacy Community Health(closed) 3311 Richmond Ave(closed) Suite 100 Houston TX 77098-3018 Ph: (832) 548-5000 |
| NPI Number | 1902199680 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902199680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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