Individual
DEBORAH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
113 AIRPORT RD, SUITE 200, SULPHUR SPRINGS, TX 75482-2193
(903) 439-4917
(903) 885-7183
Mailing address
PO BOX 1367, SULPHUR SPRINGS, TX 75483-1367
(903) 439-4917
(903) 885-7183
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
775361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209431001
—
TX
Enumeration date
04/21/2006
Last updated
08/06/2015
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