Pure Legacy, LLC

NPI #1912279407 in Floydada, Texas

Provider Information

NPI Number: 1912279407
Entity Type: Organization
Organization Name: Pure Legacy, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 31, 2012
Last Updated: Jan 31, 2012

Practice Location

Address: 107 W CALIFORNIA ST
City: Floydada
State: Texas
ZIP Code: 79235-2724
Phone: (806) 983-3119

Authorized Official

Name: DR. TASHA RENEE SMITH, D.C.
Title: SOLE MEMBER
Phone: (806) 790-4951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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