Organization
LEGACY COMMUNITY HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L HILLIARD JR. MD (CEO)
(832) 548-5277
Entity
Organization
Contact information
Practice address
450 N 11TH ST, BEAUMONT, TX 77702-1804
(832) 548-5000
(713) 523-4897
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/04/2021
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