| Legacy Primary Care, PLLC | |
|
3401 N Calais Dr Ste A Sherman TX 75090-3104 | |
| (903) 957-9010 | |
| (903) 957-0585 |
| Full Name | Legacy Primary Care, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3401 N Calais Dr Ste A, Sherman, Texas |
| Authorized Official Name and Position | Andrea Hughes (OWNER) |
| Authorized Official Contact | 2053535831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Primary Care, PLLC Po Box 837 Howe TX 75459-0837 Ph: (903) 487-2248 | Legacy Primary Care, PLLC 3401 N Calais Dr Ste A Sherman TX 75090-3104 Ph: (903) 957-9010 |
| NPI Number | 1255907473 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Medicare PECOS PAC ID | 5799189023 |
|---|---|
| Medicare Enrollment ID | O20210810000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255907473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Andrea B Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124516802 PECOS PAC ID: 6305240532 Enrollment ID: I20210810000937 |
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