Legend Wellness Clinic Inc · Public Health & General Preventive Medicine Physician

1919 North Loop W Ste 280, Houston, TX 77008-1368

Overview

Legend Wellness Clinic Inc is a Public Health & General Preventive Medicine Physician (organization) practicing in Houston, Texas. The National Provider Identifier (NPI) is #1063355782, which was assigned on April 9, 2026, and the registration record was last updated on April 9, 2026. The practitioner's main practice location is at 1919 North Loop W Ste 280, Houston, TX 77008-1368; the contact telephone number is 8324469371, and the fax number is 9324464797. The primary taxonomy of Legend Wellness Clinic Inc is Public Health & General Preventive Medicine Physician (2083P0901X), with specialization in Public Health & General Preventive Medicine. The authorized official for Legend Wellness Clinic Inc is Prince Andrews (President).

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Provider Information

NPI 1063355782
Entity Type Organization
Organization Name LEGEND WELLNESS CLINIC INC
Provider Name LEGEND WELLNESS CLINIC INC
Practice Address 1919 North Loop W Ste 280
Houston
TX 77008-1368
Practice Telephone 8324469371
Practice Fax Number 9324464797
Mailing Address 1919 North Loop W Ste 280
Houston
TX 77008-1368
Mailing Telephone 8324469371
Mailing Fax Number 9324464797
Certification Date 2026-04-09
Enumeration Date 2026-04-09
Last Update Date 2026-04-09
Is Organization Subpart N

Authorized Official Information

Official Name PRINCE ANDREWS
Official Title PRESIDENT
Credential JD
Telephone 3467355253

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2083P0901XPreventive MedicinePublic Health & General Preventive Medicine193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 2083P0901X
Taxonomy Public Health & General Preventive Medicine Physician
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

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Location Information

Street Address 1919 NORTH LOOP W STE 280
City HOUSTON
State TX
Zip Code 77008-1368
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Reagan Carroll 1919 North Loop W Ste 280, Houston, TX 77008-1368Physician Assistant2020-01-10
Lauren Brooke Walker 1919 North Loop W Ste 280, Houston, TX 77008-1368Physician Assistant2021-05-22
Dharmendra Kumar 1919 North Loop W Ste 280, Houston, TX 77008-1368Psychiatry Physician2008-09-05
Greater Heights Holistic Psychiatry 1919 North Loop W Ste 280, Houston, TX 77008-1368Physician Assistant2019-08-08
Reena Kumar 1919 North Loop W Ste 280, Houston, TX 77008-1368Child & Adolescent Psychiatry Physician2013-10-22

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Ruchi Patel 1919 North Loop W Ste 200, Houston, TX 77008-1368Primary Care Nurse Practitioner2023-02-27
Stanley S Yang 1919 North Loop W Ste 200, Houston, TX 77008-1368Internal Medicine Physician2007-01-28
Renu Garg 1919 North Loop W Ste 200, Houston, TX 77008-1368Pediatric Adolescent Medicine Physician2006-08-05
610 Medical Clinic Inc 1919 North Loop W Ste 299, Houston, TX 77008-1368Internal Medicine Physician2008-04-14
Hoa Kim Vo 1919 North Loop W Ste 200, Houston, TX 77008-1368Specialist2006-07-17
Kaizhen Wang 1919 North Loop W Ste 299, Houston, TX 77008-1368Acute Care Nurse Practitioner2020-10-19

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.