Provider Demographics
NPI:1003478744
Name:ACHY LEGS CLINICS LLC
Entity Type:Organization
Organization Name:ACHY LEGS CLINICS LLC
Other - Org Name:CENTER FOR CARDIOVASCULAR EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR AND DIRECTOR OF NURSI
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-804-1959
Mailing Address - Street 1:25450 KUYKENDAHL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3436
Mailing Address - Country:US
Mailing Address - Phone:713-804-1959
Mailing Address - Fax:832-791-1446
Practice Address - Street 1:25450 KUYKENDAHL RD STE 110
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3436
Practice Address - Country:US
Practice Address - Phone:713-804-1959
Practice Address - Fax:832-791-1446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical