Individual
DR. KOURTNEY REGINA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1811 ARMY BLVD, JBSA FT SAM HOUSTON, TX 78234-2686
(210) 221-0826
Mailing address
1811 ARMY BLVD, JBSA FT SAM HOUSTON, TX 78234-2686
(210) 221-0826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26252
TX
1223P0221X
Pediatric Dentistry
26252
TX
Other
Enumeration date
06/20/2011
Last updated
03/20/2025
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