OrganizationActive
Legacy Interventional Pain Center, LLC
NPI 1649685892 · Registered Nurse · Addison, TX
Legacy Interventional Pain Center, LLC is a Registered Nurse organization in Addison, TX (NPI 1649685892).
Provider details
- NPI number
- 1649685892
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Tracy Walls, Manager(972) 234-4740
- License
- 676424 (TX)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17051 Dallas Pkwy
Ste 100
Addison, TX 75001-7109
Phone: (469) 916-0521
Fax: (972) 231-7095
Street-level locationGet directions
Mailing address
Po Box 674169
Dallas, TX 75267-4169
Registry dates
- Enumerated
- 2014-06-26
- Last updated
- 2014-06-26
Frequently asked questions
- What is Legacy Interventional Pain Center, LLC's NPI number?
- Legacy Interventional Pain Center, LLC's National Provider Identifier (NPI) is 1649685892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Interventional Pain Center, LLC?
- Legacy Interventional Pain Center, LLC is classified in the NPPES registry as Registered Nurse (Nursing Service Providers).
- Where is Legacy Interventional Pain Center, LLC located?
- Legacy Interventional Pain Center, LLC's practice location on file with NPPES is 17051 Dallas Pkwy, Addison, TX 75001-7109.
- What is Legacy Interventional Pain Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Interventional Pain Center, LLC is (469) 916-0521.
- Who is the authorized official for Legacy Interventional Pain Center, LLC?
- The authorized official listed on Legacy Interventional Pain Center, LLC's NPPES record is Tracy Walls, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Interventional Pain Center, LLC's NPI active?
- Yes — Legacy Interventional Pain Center, LLC's NPI (1649685892) is active in the NPPES registry as of the last update on 2014-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.