Organization
LEGACY SOUTH MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSEM HASSAN (CEO)
(432) 315-4720
Entity
Organization
Contact information
Practice address
9318 WATER EDGE POINT LN, HUMBLE, TX 77396-1918
(432) 315-4720
Mailing address
9318 WATER EDGE POINT LN, HUMBLE, TX 77396-1918
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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