Gina Logan PAC

NPI 1376725697 - Physician Assistant - 363A00000X

NPI Details
NPI 1376725697
Gender Female
Enumeration Date 11/28/2007
Last Updated 11/28/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7440 FM 1960 RD E
HUMBLE TX, 77346-3129, US
Phone (866) 325-3227
Fax (484) 450-2617
Business Location
161 WASHINGTON ST
EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN PA, 19428-2083, US
Phone (866) 825-3227
Fax (484) 450-2617
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA02030
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According to our database, Gina Logan PAC NPI is 1376725697, taxonomy code is 363A00000X and license number is PA02030, license state is located at Texas. Gina Logan PAC physically located at 7440 Fm 1960 Rd E, Humble TX, 77346-3129. NPI Number Gina Logan PAC has the Individual type.

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1376725697 NPI number is provided on an as is basis without warranty of any kind. 1376725697 is maintained by the National Plan & Provider Enumeration System. The contents of Gina Logan PAC are for informational purposes only.