Type 2 organization · NPI 1003703463
LEGACY PROVIDER SERVICES
251B00000X · EL PASO, TX
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 251B00000X | 251B00000X | Primary |
| 251C00000X | 251C00000X | Additional |
| 251E00000X | 251E00000X | Additional |
| 251S00000X | 251S00000X | Additional |
| 253Z00000X | 253Z00000X | Additional |
| 320600000X | 320600000X | Additional |
| 320900000X | 320900000X | Additional |
| 385H00000X | 385H00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s