| Logovita, Pllc | |
|
1305 Nw 4th St Andrews TX 79714-2838 | |
| (432) 245-0534 | |
| Not Available |
| Full Name | Logovita, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1305 Nw 4th St, Andrews, Texas |
| Authorized Official Name and Position | Kristin Nicole Witte-hubbard (MANAGER) |
| Authorized Official Contact | 3256606960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logovita, Pllc 1305 Nw 4th St Andrews TX 79714-2838 Ph: (432) 245-0534 | Logovita, Pllc 1305 Nw 4th St Andrews TX 79714-2838 Ph: (432) 245-0534 |
| NPI Number | 1104416361 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104416361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |