Organization
LEGACY COMMUNITY HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PETER PALUSSEK (COO)
(832) 548-5000
Entity
Organization
Contact information
Practice address
5616 LAWNDALE ST STE A108, HOUSTON, TX 77023-3821
(832) 548-5000
(713) 559-3260
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
H80CS07502
TX
Other
Enumeration date
11/03/2014
Last updated
01/09/2025
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