Individual provider · Type 1 NPI

Lakeshia Tamara Carter-Logan, PA-C

Medical Physician Assistant · Fort Sam Houston, TX

NPI number 1699057414 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (210) 916-4141 Map

Mailing address

3151 Winfield Scott Rd Rm 366
Jbsa Fort Sam Houston, TX 78234-7669

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X1091556 (ZZ)

Medical Physician Assistant: Definition to come...

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About NPI 1699057414

Lakeshia Tamara Carter-Logan, PA-C's National Provider Identifier is 1699057414, issued on Sep 19, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Nov 13, 2020.