| Deployed Logix | |
|
520 S Bertelsen Rd Eugene OR 97402-5317 | |
| (972) 367-4845 | |
| (972) 367-3451 |
| Full Name | Deployed Logix |
|---|---|
| Speciality | Family Medicine |
| Location | 520 S Bertelsen Rd, Eugene, Oregon |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deployed Logix 15305 Dallas Pkwy Ste 800 Addison TX 75001-6415 Ph: (972) 367-4845 | Deployed Logix 520 S Bertelsen Rd Eugene OR 97402-5317 Ph: (972) 367-4845 |
| NPI Number | 1669045803 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669045803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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