Organization
LEGACY MEDICAL SOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL SAMUELS (OFFICE MANAGER/PARTNER)
(310) 505-0507
Entity
Organization
Contact information
Practice address
17101 W GRAND PKWY S STE 103, SUGAR LAND, TX 77479-4985
(310) 505-0507
Mailing address
8615 DEN OAK DR, RICHMOND, TX 77406-4645
(310) 505-0507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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