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 provides Registered Nurse services 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 Not confirmed with CMS for 12 years — call before visiting
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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