Individual
RICHARD B. LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7330 SAN PEDRO AVE, SUITE 130, SAN ANTONIO, TX 78216-6235
(210) 349-0550
Mailing address
7330 SAN PEDRO AVE, SUITE 130, SAN ANTONIO, TX 78216-6235
(210) 349-0550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT25498
TX
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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