Individual
LOGAN PATRICK FETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
789790200
TX
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
03/04/2024
Last updated
05/22/2024
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