# LEGACY HOUSE CALLS LLC

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

## Provider details

- **NPI number:** 1972103778
- **Authorized official:** PHILOMENA NWAOKOLO (ADMINISTRATOR)
- **Authorized official phone:** (469) 767-4074

## Contact information

- **Practice address:** 2205 EDINBURGH WAY, GARLAND, TX 75040-1139
- **Practice address phone:** (469) 767-4074
- **Practice address fax:** (214) 227-5448
- **Mailing address:** 2205 EDINBURGH WAY, GARLAND, TX 75040-1139
- **Mailing address phone:** (469) 767-4074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2020
- **Last updated:** 06/09/2021