Legacy Community Health Services, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Houston, TX. Organization (NPI-2).
NPI number1962013151
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1962013151
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Community Health Services, INC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
353 N Castlegory RdHouston, TX 77049-1739
Phone 832-548-5000
Mailing address
Po Box 66308Houston, TX 77266-6308
Phone 832-548-5000
Authorized official
Robert Peter Palussek
Coo
8325485000
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