Ms Polly Jewell Logan, CNM | |
201 Kingwood Medical Dr., Suite B-300, Kingwood, TX 77339 | |
(281) 359-2229 | |
Not Available |
Full Name | Ms Polly Jewell Logan |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 201 Kingwood Medical Dr., Kingwood, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215063987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 516618 (Texas) | Primary |
Entity Name | Texas Childrens Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
Entity Name | Obhg Texas Holdings Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
Entity Name | Acclaim Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
---|---|
Ms Polly Jewell Logan, CNM 13523 Hargrave Rd, Houston, TX 77070-3829 Ph: (281) 206-4496 | Ms Polly Jewell Logan, CNM 201 Kingwood Medical Dr., Suite B-300, Kingwood, TX 77339 Ph: (281) 359-2229 |
Janet Little, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 201 Kingwood Medical Dr Ste B300, Kingwood, TX 77339 Phone: 281-359-2229 Fax: 281-359-8823 | |
Karen Petrusic Mcneal, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 350 Kingwood Medical Dr Ste 350, Kingwood, TX 77339 Phone: 281-359-7000 |