Coquice Logan

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

6312 Snow Ridge CT
Arlington, TX 76018-3160

Phone

(817) 468-3847

Fax

(817) 468-5977

NPI assigned

Dec 3, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CGL Solutions - Medical Supply

  • Customized Equipment (DME)
  • Arlington, TX
  • NPI 1174771315
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1841435997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 SNOW RIDGE CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183160",
            "telephone_number": "817-468-3847",
            "fax_number": "817-468-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 SNOW RIDGE CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183160",
            "telephone_number": "817-468-3847",
            "fax_number": "817-468-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "COQUICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LMR Behavioral Health
• Mary Christine Lochridge, LCSW
• Trey J Lockwood, PA-S
• Cheryl Lodwick, M.D.
• Amanda Leanne Logan
• Logos Iop, LLC
• Loial Rehab LLC
• Lolita Aesthetics Inc
• Kiana Lomax
• Susan H. Lombardi, MD

• Customized Equipment (DME) in Arlington, TX
• Providers in Arlington, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.