Ridge Logan

NPI #1376008847 in Burleson, Texas

Provider Information

NPI Number
1376008847
Entity Type
Individual
Name
Ridge Logan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
Feb 8, 2019
Last Updated
Feb 8, 2019

Practice Location

Address
12509 STEPHENSON LEVY RD
State
Texas
ZIP Code
76028-7971
Phone
(817) 991-9784

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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