Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Developmental Pediatrics, PLLC

Organization Nurse Practitioner · NPI 1295596096

Legacy Developmental Pediatrics, PLLC is a Nurse Practitioner in Lubbock, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2505 79th St Ste B
Lubbock, TX 79423-2211
Phone: (806) 300-8228
Fax: (806) 300-8223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1295596096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Perez — Nurse Practitioner · (806) 300-8228
Other names Legacy Developmental Pediatrics
NPI enumeratedJanuary 18, 2024
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address2505 79th St Ste B, Lubbock, TX 79423-2211

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