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
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | None 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.