Organization
LEGACY COMMUNITY HEALTH(CLOSED)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY CALDWELL (EXECUTIVE DIRECTOR)
(713) 830-3038
Entity
Organization
Contact information
Practice address
3311 RICHMOND AVE(CLOSED), SUITE 100, HOUSTON, TX 77098-3018
(832) 548-5000
(713) 523-4897
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(713) 523-4897
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/27/2011
Last updated
10/18/2012
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