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Legacy House Calls LLC

NPI 1972103778ActiveOrganization· Nurse Practitioner· Garland, TX

Nurse Practitioner in Garland, Texas, registered in NPPES in October 2020. The authorized official on file is Philomena Nwaokolo, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1972103778
StatusActive
Entity typeOrganization
NPI issuedOct 29, 2020
Last updated in NPPESJun 9, 2021
Certified by providerJun 9, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other Nurse Practitioner providers in Garland

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