Logan, Marcus Trevant

Logan, Marcus Trevant is an individual health care provider with primary practice located at 8751 Collin Mckinney Pkwy Ste 104 , Mckinney TX 75070-1658. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Logan, Marcus Trevant can be contacted via phone (214) 592-8159.

Contact Information

Primary practice address
8751 Collin Mckinney Pkwy Ste 104 Mckinney TX 75070-1658
Phone: (214) 592-8159
Fax: (949) 561-5834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12794 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3007916 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP123969 Texas

Profile Details

NPI number 1073711891
LBN Legal business name Logan, Marcus Trevant
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Aug 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073711891 NPPES
Texas MEDICAID 209208202
Texas Other 8245UH

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