| Legacy Integrative Health | |
|
8900 Ohio Dr Ste B Plano TX 75024-2262 | |
| (469) 362-8701 | |
| (469) 562-0059 |
| Full Name | Legacy Integrative Health |
|---|---|
| Speciality | General Practice |
| Location | 8900 Ohio Dr Ste B, Plano, Texas |
| Authorized Official Name and Position | Logan J Mills (OWNER) |
| Authorized Official Contact | 4693628701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Integrative Health 8900 Ohio Dr Ste B Plano TX 75024-2262 Ph: (469) 362-8701 | Legacy Integrative Health 8900 Ohio Dr Ste B Plano TX 75024-2262 Ph: (469) 362-8701 |
| NPI Number | 1386101855 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386101855 | NPI | - | NPPES |
| 1356740740 | Medicaid | TX | |
| 1477679926 | Medicaid | TX | |
| 1710008966 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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