Individual
LOGAN HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.,CCC-A
Contact information
Practice address
603 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2693
(210) 824-0632
(210) 824-8514
Mailing address
603 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2693
(210) 824-0632
(210) 824-8514
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80180
TX
237600000X
Audiologist-Hearing Aid Fitter
80180
TX
237700000X
Hearing Instrument Specialist
80180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710119649
—
TX
01
—
80180
STATE BOARD
TX
Enumeration date
08/11/2009
Last updated
10/02/2014
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