LEGACY TRAILS MEDICAL CENTER – NPI #1043761463
Clinic/Center

LEGACY TRAILS MEDICAL CENTER is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1043761463 to LEGACY TRAILS MEDICAL CENTER on October 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 9 years ago on Jan 11, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY TRAILS MEDICAL CENTER below.

NPI Profile for
LEGACY TRAILS MEDICAL CENTER

NPI Number
1043761463
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGACY TRAILS MEDICAL CENTER
Primary location
9211 POTRANCO RD
SAN ANTONIO, TX 78251
Phone: (210) 858-4420 Fax:
Mailing address
PO BOX 840795
DALLAS, TX 75284-0795
Phone: (972) 899-6637 Fax:
Organization Subpart
Yes - LEGACY TRAILS MEDICAL CENTER is subpart of another organization.
Authorized Official
FRANK WILLIAMS
CFO
Phone: (972) 899-6637
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)		 TX 160290

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.