| NPI | 1932885126 |
|---|---|
| Doing Business As | LEGACY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEROY MORENO Owner 956-648-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-07-03 |