LOGAN WIGGINS BOLDWILL

CONCORD MEDICAL GROUP PLLC

Dr LOGAN WIGGINS BOLDWILL is a male medical professional, specializing in Internal Medicine. He graduated in 2016 from Texas A & M University College Of Medicine.

Contact

CONCORD MEDICAL GROUP PLLC

215 CHISHOLM TRL
JACKSBORO
TX
764581403

Tel: 9405676633

LOGAN WIGGINS BOLDWILL Information

Npi 1912352675
Pac Id 3577852201
Professional Enrollment Id I20190208000711
Last Name BOLDWILL
First Name LOGAN
Middle Name WIGGINS
Suffix
Gender M
Credential
Medical School Name TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 2016
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CONCORD MEDICAL GROUP PLLC
Group Practice Pac Id 0446296818
Number Of Group Practice Members 123
Line 1 Street Address 215 CHISHOLM TRL
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JACKSBORO
State TX
Zip Code 764581403
Phone Number 9405676633
Hospital Affiliation Ccn 1 450694
Hospital Affiliation Lbn 1 EL CAMPO MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know LOGAN WIGGINS BOLDWILL?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.