# LEGACY HEART CARE OF AUSTIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336304732
- **Authorized official:** MICHAEL GRATCH (PRESIDENT)
- **Authorized official phone:** (817) 423-4400

## Contact information

- **Practice address:** 901 W 38TH ST, SUITE 403, AUSTIN, TX 78705-1163
- **Practice address phone:** (817) 423-4400
- **Practice address fax:** (817) 423-8080
- **Mailing address:** 2500 WEST FWY, SUITE 200, FORT WORTH, TX 76102-5848
- **Mailing address phone:** (817) 423-4400
- **Mailing address fax:** (817) 423-8080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364S00000X | Clinical Nurse Specialist | 654915 | TX | Yes |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 06/21/2012