| NPI | 1477107522 |
|---|---|
| Former Legal Business Name | LEGACY HEALTH PRIMARY CARE PLLC |
| Entity Type | Organization |
| Authorized Contact | BIJAS BENJAMIN CEO 469-200-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2023-06-05 |