Legacy South Medical LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

LEGACY SOUTH MEDICAL LLC

Practice address

9318 Water Edge Point LN
Humble, TX 77396-1918

Phone

(432) 315-4720

NPI assigned

May 18, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bassem Hassan

Title

Ceo

Phone

(432) 315-4720

Specialties & licenses 1

Addresses

Tax ID family

Legacy South Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Strativo Medical LLC

  • Customized Equipment (DME)
  • Humble, TX
  • NPI 1124957808
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1245169911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 WATER EDGE POINT LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 WATER EDGE POINT LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961918",
            "telephone_number": "432-315-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SOUTH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "BASSEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-315-4720"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Lee, DDS
• Donald Ray Lee, LMT
• Lashunda Lee, PHARMD
• Valerie Lee
• Legacy Foot & Ankle Specialists, PLLC
• Kaylyn Rea Leland, PT, DPT
• Ty David Lerman, M.A., CHT, LPC
• Jennifer Leslie-Vanblarcom, M.A., LPC
• Liliane Lesnoy, BS
• Melanie Leung, O.D.

• Customized Equipment (DME) in Humble, TX
• Providers in Humble, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.