| NPI | 1396250577 |
|---|---|
| Doing Business As | LEGACY MD |
| Entity Type | Organization |
| Authorized Contact | OUSAMA MOAMMAR CEO 214-471-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5873) |
| Enumeration Date | 2017-12-09 |
| Last Update Date | 2017-12-09 |