LOGAN BROOKSHIRE - NPI 1417714627 - Student in an Organized Health Care Education/Training Program in Ft. Cavazos, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Logan Brookshire NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN BROOKSHIRE (NPI 1417714627) is an individual student in an organized health care education/training program in Ft. Cavazos, Texas and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1417714627

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLOGAN BROOKSHIRE

Location Address590 MEDICAL CENTER RD, ATTN: RESIDENCY CENTERFt. Cavazos, TX 76544-5060

Mailing Address14 Lakeview DrRockmart, GA 30153-4361

Phone(254) 553-9089

Sole ProprietorNo

Enumeration DateMarch 4, 2024

NPPES CertifiedMarch 1, 2024

✔ NPI 1417714627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

590 MEDICAL CENTER RD, Ft. Cavazos, TX 76544

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