Amanda Leanne Logan
Specialist/Technologist, Other, Surgical Technologist in Arlington, TX. Individual provider (NPI-1).
NPI number1740440486
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1740440486
- Entity type
- Individual (NPI-1)
- Name
- Amanda Leanne Logan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2008
- Last updated
- Jun 16, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | 633320 | KS | Yes |
Practice location
811 Interstate 20 W#114
Arlington, TX 76017-5870
Phone 817-784-8268 · Fax 817-468-9165
Mailing address
Po Box 120549Arlington, TX 76012-0549
Phone 817-303-4521 · Fax 817-459-2856
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Other Surgical Technologist providers in Arlington, TX
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