Individual
DR. LOGAN GENTRY CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9100
Mailing address
2200 BERGQUIST DR, JBSA LACKLAND, TX 78236-9907
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101265704
VA
207L00000X
Anesthesiology Physician
T3755
TX
208D00000X
General Practice Physician
0101265704
VA
Other
Enumeration date
04/06/2017
Last updated
06/18/2024
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