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NPI Code Detail

MEDICARE: LEGACY CARE CONCIERGE LLC

MEDICARE: LEGACY CARE CONCIERGE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1255274692
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEGACY CARE CONCIERGE LLC
Provider Business Mailing Address
First Line : 6010 W SPRING CREEK PKWY STE 722
Second Line :
City : PLANO
State : TX
Zip : 75024-3569
Country : US
Telephone Number : 940-290-0556
Fax Number :
Provider Business Practice Location Address
First Line : 6010 W SPRING CREEK PKWY STE 722
Second Line :
City : PLANO
State : TX
Zip : 75024-3569
Country : US
Telephone Number : 940-290-0556
Fax Number :
Authorized Official
Title or Position : OWNER / OPERATOR
Name : MR. EDWARD RUFUS LAW
Credential : MBA
Telephone Number : 940-290-0556
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “LEGACY CARE CONCIERGE LLC ” Practice Location

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