Individual
COQUICE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6312 SNOW RIDGE CT, ARLINGTON, TX 76018-3160
(817) 468-3847
(817) 468-5977
Mailing address
6312 SNOW RIDGE CT, ARLINGTON, TX 76018-3160
(817) 468-3847
(817) 468-5977
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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