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Organization

LEGACY AXIS GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHUKWUEBUKA EKWEALOR CRNA (CEO)
(281) 896-6757
Entity
Organization

Contact information

Practice address
343 EADO PARK CIR, HOUSTON, TX 77020-3269
(281) 896-6757
Mailing address
343 EADO PARK CIR, HOUSTON, TX 77020-3269

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QR0800X
Recovery Care Clinic/Center

Other

Enumeration date
02/26/2026
Last updated
02/26/2026
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