Individual
MRS. JUANITA GWEN LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
7218 CRAWFORD ROAD, ARGYLE, TX 76226
(940) 440-0525
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00783
TX
246ZC0007X
Surgical Assistant
—
TX
Other
Enumeration date
07/11/2017
Last updated
08/01/2023
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