| Legacy Community Health Services, Inc. | |
|
14030 Florence Rd Sugar Land TX 77498-3355 | |
| (832) 548-5000 | |
| Not Available |
| Full Name | Legacy Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14030 Florence Rd, Sugar Land, Texas |
| Authorized Official Name and Position | Robert Peter Palussek (COO) |
| Authorized Official Contact | 8325485000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Community Health Services, Inc. Po Box 66308 Houston TX 77266-6308 Ph: (832) 548-5000 | Legacy Community Health Services, Inc. 14030 Florence Rd Sugar Land TX 77498-3355 Ph: (832) 548-5000 |
| NPI Number | 1750953980 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 7911969092 |
|---|---|
| Medicare Enrollment ID | O20220303001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750953980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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