Legacy Women's Clinic,PLLC

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

532543 Issued in TX

Legal business name

LEGACY WOMEN'S CLINIC,PLLC

Practice address

4100 McEwen Rd
Suite 130
Dallas, TX 75244-5113

Phone

(214) 649-9346

Fax

(214) 295-9671

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dora Linda Bradford, RN,BSN,WHNP, B-C

Title

Nurse Practitioner

Phone

(214) 649-9346

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1245575513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MCEWEN RD",
            "address_2": "SUITE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445113",
            "telephone_number": "214-649-9346",
            "fax_number": "214-295-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MCEWEN RD",
            "address_2": "SUITE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445113",
            "telephone_number": "214-649-9346",
            "fax_number": "214-295-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY WOMEN'S CLINIC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-649-9346",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BSN,WHNP, B-C"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "TX",
            "license": "532543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Heart Care of North Dallas, LLC (Flow Therapy North Dallas)
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• Legacy Infusions and Injections LLC
• Legacy Injury Care
• Legacy Speech Group PLLC
• Legacy Womens Health PLLC
• Gene Marie Legaspi, AGACNP
• Kennedy Legel, DPM
• Legend Rehabilitation
• Patrice Ann Leger-Nicholson, RNC WHCNP

• Ambulatory Family Planning Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Ambulatory Family Planning Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.