Individual
DR. LOGAN JEFFREY NIEHUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 SOUTH 31ST STREET, STOP MS-11-AG062, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(254) 724-5815
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S6004
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
06/30/2025
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