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

Legacy Interventional Pain Center, LLC

Organization Registered Nurse · NPI 1649685892

Legacy Interventional Pain Center, LLC is a Registered Nurse in Addison, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17051 Dallas Pkwy Ste 100
Addison, TX 75001-7109
Phone: (469) 916-0521
Fax: (972) 231-7095
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 676424 (TX)

Record details

NPI number1649685892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Walls — Manager · (972) 234-4740
NPI enumeratedJune 26, 2014
Last updated in NPPESJune 26, 2014
Mailing addressPo Box 674169, Dallas, TX 75267-4169

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