Individual
MR. MARCUS TREVANT LOGAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5899 PRESTON RD STE 1202, FRISCO, TX 75034-9594
(214) 592-8159
(949) 695-2287
Mailing address
5899 PRESTON RD STE 1202, FRISCO, TX 75034-9594
(214) 592-8159
(949) 695-2287
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12794
TN
367500000X
Certified Registered Nurse Anesthetist
3007916
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209208202
—
TX
01
—
8245UH
BCBS TX
TX
Enumeration date
07/03/2007
Last updated
03/05/2026
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