Logan Beiswanger, SRNA
Nurse Anesthetist, Certified Registered in San Antonio, TX. Individual provider (NPI-1).
NPI number1164053856
StatusActive
Last updated in NPPESJul 30, 2021
Details
- NPI
- 1164053856
- Entity type
- Individual (NPI-1)
- Name
- Logan Beiswanger
- Credential
- SRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2020
- Certification date
- Jul 30, 2021
- Last updated
- Jul 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR001086 | SD | Yes |
Practice location
3551 Roger Brooke DrSan Antonio, TX 78234-4504
Phone 210-916-4499 · Fax 210-916-0005
Mailing address
3551 Roger Brooke DrSan Antonio, TX 78234-4504
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