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Organization
LEGACY INTEGRATED CARE PLLC
Active
Organization
LEGACY INTEGRATED CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTYN NOELL BOOTH NP (OWNER/PROVIDER)
(713) 591-6165
Entity
Organization
Contact information
Practice address
5151 MEADOW RANCH PKWY STE 103, RICHMOND, TX 77407-0172
(713) 591-6165
Mailing address
5151 MEADOW RANCH PKWY, RICHMOND, TX 77407-0154
(713) 591-6165
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2026
Last updated
09/10/2026
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