NPI | 1528368479 |
---|---|
Doing Business As | LEGACY PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | HUSSAMADDIN AL KHADOUR President 281-364-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L1257) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L1257) |
Enumeration Date | 2010-10-26 |
Last Update Date | 2024-09-05 |