Organization
LEGACY HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILOMENA NWAOKOLO (ADMINISTRATOR)
(469) 767-4074
Entity
Organization
Contact information
Practice address
2205 EDINBURGH WAY, GARLAND, TX 75040-1139
(469) 767-4074
(214) 227-5448
Mailing address
2205 EDINBURGH WAY, GARLAND, TX 75040-1139
(469) 767-4074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
06/09/2021
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