Legacy Primary Care, Pllc | |
3401 N Calais Dr Ste A Sherman TX 75090-3104 | |
(903) 957-9010 | |
(903) 957-0585 |
Full Name | Legacy Primary Care, Pllc |
---|---|
Speciality | Family Medicine |
Location | 3401 N Calais Dr Ste A, Sherman, Texas |
Authorized Official Name and Position | Andrea Hughes (OWNER) |
Authorized Official Contact | 2053535831 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Legacy Primary Care, Pllc Po Box 837 Howe TX 75459-0837 Ph: (903) 487-2248 | Legacy Primary Care, Pllc 3401 N Calais Dr Ste A Sherman TX 75090-3104 Ph: (903) 957-9010 |
NPI Number | 1255907473 |
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Provider Enumeration Date | 05/28/2021 |
Last Update Date | 05/28/2021 |
Medicare PECOS PAC ID | 5799189023 |
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Medicare Enrollment ID | O20210810000307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255907473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Andrea B Hughes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124516802 PECOS PAC ID: 6305240532 Enrollment ID: I20210810000937 |
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