Organization · Type 2 NPI

Legacy Interventional Pain Center, LLC

Registered Nurse · Addison, TX

NPI number 1649685892 Active

Practice location

17051 Dallas Pkwy, Ste 100
Addison, TX 75001-7109

Fax (972) 231-7095

Mailing address

PO Box 674169
Dallas, TX 75267-4169

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X676424 (TX)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1649685892

Legacy Interventional Pain Center, LLC's National Provider Identifier is 1649685892, issued on Jun 26, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Addison, TX. The record was last updated on Jun 26, 2014.