LOGAN JACOB FONTENOT

HOUSTON, TX
NPI1891293031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP136242)
Enumeration Date2018-01-23
Last Update Date2018-01-23
Business Address
LOGAN JACOB FONTENOT CRNA
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042-2549
Phone number: 713-620-4000
Mailing Address
LOGAN JACOB FONTENOT CRNA
PO BOX 650865
DALLAS, TX 75265-0865
Phone number: 713-620-4000
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