Legacy Heart Care of Austin LLC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

654915 Issued in TX

Legal business name

LEGACY HEART CARE OF AUSTIN LLC

Practice address

901 W 38TH St
Suite 403
Austin, TX 78705-1163

Phone

(817) 423-4400

Fax

(817) 423-8080

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Michael Gratch

Title

President

Phone

(817) 423-4400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1336304732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WEST FWY",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025848",
            "telephone_number": "817-423-4400",
            "fax_number": "817-423-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST",
            "address_2": "SUITE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051163",
            "telephone_number": "817-423-4400",
            "fax_number": "817-423-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEART CARE OF AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "GRATCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-423-4400"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "654915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Edward Leeser, DDS
• Litza Maria Lefebre Dorta, DMD
• Abigail Rae Leff, LMSW
• Erin Lefler, MA, LMFT-A
• Legacy Haven Integrated Care Services LLC
• Legacy Oaks Al, LLC
• Sue Genaro Legacy, LCSW
• Aileen Hania Legarda, NP
• Lindsay Lege, LCSW
• Legend Dental PLLC

• Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.