LEGACY WOMEN'S CLINIC,PLLC (NPI# 1245575513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245575513 |
| Entity Type | Organization |
| Organization Name | LEGACY WOMEN'S CLINIC,PLLC |
| Practice Address |
4100 Mcewen Rd Suite 130 Dallas TX 75244-5113 |
| Practice Telephone | 2146499346 |
| Practice Fax Number | 2142959671 |
| Mailing Telephone | 2146499346 |
| Mailing Fax Number | 2142959671 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MS. DORA LINDA BRADFORD (NURSE PRACTITIONER) |
| Authorized Official Telephone | 2146499346 |
| Authorized Official Credential | RN,BSN,WHNP, B-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
532543 | TX | Ambulatory Health Care Facilities |
| Street Address |
4100 MCEWEN RD SUITE 130 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760700306 | Avery Carpenter | Chiropractor | 4100 Mcewen Rd, Ste 130, Dallas, TX 75244-5113 | 2010-05-06 |
| 1861723678 | Avery Design Co | Chiropractor | 4100 Mcewen Rd, Ste 130, Dallas, TX 75244-5113 | 2010-01-18 |
| 1356408629 | Carmen Thurston Webb | Psychiatry & Neurology | 4100 Mcewen Rd, #285, Dallas, TX 75244-5113 | 2007-01-03 |
| 1629179338 | Juan Carlos Molina | Family Medicine | 4100 Mcewen Rd, Suite 112, Dallas, TX 75244-5113 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912441304 | Involved for Life, Inc. | Clinic/Center | 525 N Ervay St, Dallas, TX 75201-3149 | 2016-12-05 |
| 1164725412 | Women's Health Care Center, Inc. | Clinic/Center | 2914 S Buckner Blvd Ste B, Dallas, TX 75227-6907 | 2010-12-08 |
| 1528244290 | Jos Inc Routh Street Womens Clinic | Clinic/Center | 4321 N Central Expy, Dallas, TX 75205-4524 | 2008-01-12 |
| 1346434768 | Dallas County Hospital District | Clinic/Center | 3737 Goldman St, Dallas, TX 75212-2471 | 2007-08-29 |
| 1437226172 | Dallas County Hospital District | Clinic/Center | 6300 Harry Hines Blvd Ste 600, Maple Women's Health Center, Dallas, TX 75235-5233 | 2006-11-29 |
| 1114227634 | Dallas County Hospital District | Clinic/Center | 3310 Live Oak St Fl 3, Youth & Family Centers Family Planning, Dallas, TX 75204-6153 | 2010-11-01 |
| 1235206418 | Dallas County Hospital District | Clinic/Center | 4201 Brook Spring Dr, Oakwest Women's Health Center, Dallas, TX 75224-4938 | 2006-11-30 |
| 1144397324 | Dallas County Hospital District | Clinic/Center | 9202 Elam Rd, Southeast Dallas Women's Health Center, Dallas, TX 75217-4151 | 2006-11-30 |
| 1437226610 | Dallas County Hospital District | Clinic/Center | 5200 Harry Hines Blvd, Wish Tubal Clinic, Dallas, TX 75235-7709 | 2006-11-30 |
| 1912074287 | Dallas County Hospital District | Clinic/Center | 4600 Scyene Road, Hatcher Station Women's Health Center, Dallas, TX 75210-2219 | 2006-11-29 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.