Organization
DIABETRX CARE
Active
Organization
DIABETRX CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA ANN LOGAN PHARM D (OWNER)
(903) 783-1131
Entity
Organization
Contact information
Practice address
1055 CLARKSVILLE ST, SUITE 140, PARIS, TX 75460-6097
(903) 783-1131
(903) 783-1186
Mailing address
1055 CLARKSVILLE ST, SUITE 140, PARIS, TX 75460-6097
(903) 783-1131
(903) 783-1186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
41238
TX
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2009
Last updated
06/01/2009
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