# LEGACY INTEGRATIVE HEALTH

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

## Provider details

- **NPI number:** 1386101855
- **Authorized official:** DR. LOGAN J MILLS DC (OWNER)
- **Authorized official phone:** (469) 362-8701

## Contact information

- **Practice address:** 8900 OHIO DR STE B, PLANO, TX 75024-2262
- **Practice address phone:** (469) 362-8701
- **Practice address fax:** (469) 562-0059
- **Mailing address:** 8900 OHIO DR STE B, PLANO, TX 75024-2262
- **Mailing address phone:** (469) 362-8701
- **Mailing address fax:** (469) 562-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2019
- **Last updated:** 11/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1356740740 | — | TX |
| 05 | — | 1477679926 | — | TX |
| 05 | — | 1710008966 | — | TX |