Organization
LEGACY COMMUNITY HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PALUSSEK MD (COO)
(832) 548-5000
Entity
Organization
Contact information
Practice address
1415 CALIFORNIA ST, HOUSTON, TX 77006-2602
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5000
(713) 559-3255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
Enumeration date
05/12/2006
Last updated
01/08/2025
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