RIDGE LOGAN

BURLESON, TX
NPI1376008847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  950616)
Enumeration Date2019-02-08
Last Update Date2019-02-08
Business Address
RIDGE LOGAN
12509 STEPHENSON LEVY RD
BURLESON, TX 76028-7971
Phone number: 817-991-9784
Mailing Address
RIDGE LOGAN
12509 STEPHENSON LEVY RD
BURLESON, TX 76028-7971
Phone number: 817-991-9784
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