Organization
LEGACY MED LLC
Active
Other names
Legacy Urgent Care, KVA Pain Solution
Organization subpart
No
Provider details
NPI number
Authorized official
HOANG-ANH PHAN (MANAGING MEMBER)
(713) 437-7114
Entity
Organization
Contact information
Practice address
10150 ALMEDA GENOA RD STE H, HOUSTON, TX 77075-2435
(346) 298-1521
(832) 831-6049
Mailing address
1814 MYSTIC ARBOR LN, HOUSTON, TX 77077-3545
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/10/2024
Last updated
03/25/2025
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