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Individual

LOGAN BEISWANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SRNA

Contact information

Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4499
(210) 916-0005
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001086
SD

Other

Enumeration date
01/31/2020
Last updated
07/30/2021
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