# LEGACY DURABLE MEDICAL EQUIPMENT

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

## Provider details

- **NPI number:** 1750516118
- **Authorized official:** MICAH PAUL COOKSEY (PRESIDENT)
- **Authorized official phone:** (409) 896-5937

## Contact information

- **Practice address:** 8035 EASTEX FWY, SUITE A, BEAUMONT, TX 77708-2420
- **Practice address phone:** (409) 896-5937
- **Practice address fax:** (409) 896-5938
- **Mailing address:** PO BOX 7567, BEAUMONT, TX 77726-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2009
- **Last updated:** 10/08/2010