Individual
DR. DEBORA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, DC
Contact information
Practice address
9800 N LAMAR BLVD STE 140, AUSTIN, TX 78753-4144
(512) 873-9355
(512) 873-8858
Mailing address
9800 N LAMAR BLVD STE 140, AUSTIN, TX 78753-4144
(512) 873-9355
(512) 873-8858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017824-01
—
TX
Enumeration date
09/21/2006
Last updated
04/21/2011
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