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Organization
LEGACY INTEGRATIVE HEALTH
Active
Organization
LEGACY INTEGRATIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN J MILLS DC (OWNER)
(469) 362-8701
Entity
Organization
Contact information
Practice address
8900 OHIO DR STE B, PLANO, TX 75024-2262
(469) 362-8701
(469) 562-0059
Mailing address
8900 OHIO DR STE B, PLANO, TX 75024-2262
(469) 362-8701
(469) 562-0059
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356740740
—
TX
05
—
1477679926
—
TX
05
—
1710008966
—
TX
Enumeration date
02/21/2019
Last updated
11/13/2023
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