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Organization
LEGACY THERAPY CENTER INC.
Active
Organization
LEGACY THERAPY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMBROSE HERNANDEZ (CEO/OWNER)
(361) 855-1345
Entity
Organization
Contact information
Practice address
5633 S STAPLES ST, SUITE # 400, CORPUS CHRISTI, TX 78411-4646
(361) 855-1345
(361) 855-0064
Mailing address
PO BOX 61140, CORPUS CHRISTI, TX 78466-1140
(361) 855-1345
(361) 855-0064
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
07/12/2011
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