LEGACY INTERVENTIONAL PAIN CENTER, LLC – Registered Nurse, NPI 1649685892

LEGACY INTERVENTIONAL PAIN CENTER, LLC is a healthcare provider. based in Dallas, Texas. specializing in Registered Nurse. The organization holds a License No. 676424 (TX). The NPI Number for LEGACY INTERVENTIONAL PAIN CENTER, LLC is 1649685892

Main info

Organization
Name
LEGACY INTERVENTIONAL PAIN CENTER, LLC
NPI
1649685892
Phone
(972) 479-1115
Address
PO BOX 674169
Authorized Official
TRACY WALLS MANAGER
Enumeration Date
26 June 2014
Last Update Date
26 June 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for LEGACY INTERVENTIONAL PAIN CENTER, LLC

  • PO BOX 674169

    DALLAS, TX 752674169

    Phone: (972) 479-1115

    Fax: (972) 346-8015

    Type: Mailing

  • 17051 DALLAS PKWY

    STE 100

    ADDISON, TX 750017109

    Phone: (469) 916-0521

    Fax: (972) 231-7095

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75267)

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Reviews

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Frequently asked questions

Does LEGACY INTERVENTIONAL PAIN CENTER, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LEGACY INTERVENTIONAL PAIN CENTER, LLC uses 1649685892.
Is LEGACY INTERVENTIONAL PAIN CENTER, LLC still practicing?
LEGACY INTERVENTIONAL PAIN CENTER, LLC is currently listed as active in the public NPI registry.
What is LEGACY INTERVENTIONAL PAIN CENTER, LLC best known for clinically?
Directory data describes LEGACY INTERVENTIONAL PAIN CENTER, LLC with Registered Nurse. Clinical services aligned with this taxonomy classification.
Where should I expect LEGACY INTERVENTIONAL PAIN CENTER, LLC on a map?
Expect Dallas, Texas as a primary anchor for LEGACY INTERVENTIONAL PAIN CENTER, LLC unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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