Organization · Type 2 NPI

Legacy Heart Care of Grand Prairie, LLC

Cardiovascular Disease Physician · Grand Prairie, TX

NPI number 1174252837 Active

Practice location

4927 Lake Ridge Pkwy Ste 145
Grand Prairie, TX 75052-3087

Mailing address

2500 West Fwy Ste 200
Fort Worth, TX 76102-5851

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

About NPI 1174252837

Legacy Heart Care of Grand Prairie, LLC's National Provider Identifier is 1174252837, issued on Jun 8, 2022. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Grand Prairie, TX. The record was last updated on Sep 29, 2025.