MEDICARE: LEGACY COMMUNITY HEALTH(CLOSED)

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
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1902199680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGACY COMMUNITY HEALTH(CLOSED)

Provider Business Mailing Address
First Line	:	PO BOX 66308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77266-6308
Country	:	US
Telephone Number	:
Fax Number	:	713-523-4897

Provider Business Practice Location Address
First Line	:	3311 RICHMOND AVE(CLOSED)
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77098-3018
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:	713-523-4897

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KATY CALDWELL
Credential	:
Telephone Number	:	713-830-3038

Provider Enumeration Date	:	05/27/2011
Last Update Date	:	10/18/2012

Similar Medicare Providers

1902850969 — MELISSA LEA WITTEN RD LD
Practice Location Address:

3311 RICHMOND AVE , 100
HOUSTON, TX
77098-3018

Practice Phone: 713-830-3033
Practice Fax: 713-830-3091

1518911577 — NELIDA SALAZAR RD LD
Practice Location Address:

3311 RICHMOND AVE , 100
HOUSTON, TX
77098-3018

Practice Phone: 713-830-3033
Practice Fax: 713-830-3091

1487699351 — MS. DEENA CHEREE VICTOR RDLD
Practice Location Address:

3311 RICHMOND AVE , 100
HOUSTON, TX
77098-3018

Practice Phone: 713-830-3000
Practice Fax: 713-830-3091

1326101122 — DR. PENELOPE J HOOKS M.D.
Practice Location Address:

3311 RICHMOND AVE , SUITE 330
HOUSTON, TX
77098-3018

Practice Phone: 713-521-9087
Practice Fax:

1700025046 — MS. ANDREA GUADALUPE PARADA MPH, RD, CSP
Practice Location Address:

3311 RICHMOND AVE
HOUSTON, TX
77098-3018

Practice Phone: 713-830-3000
Practice Fax: 713-830-3084

1235416066 — NEREIDA BERLANGA MARTINEZ LCSW
Practice Location Address:

3311 RICHMOND AVE
HOUSTON, TX
77098-3018

Practice Phone: 832-641-3649
Practice Fax:

Directions to “LEGACY COMMUNITY HEALTH(CLOSED) ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.