Organization
ADINA MANUELA LOGAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADINA MANUELA LOGAN M.D. (OWNER)
(972) 484-7500
Entity
Organization
Contact information
Practice address
701 TUSCAN, SUITE 145, IRVING, TX 75039-3834
(972) 484-7500
(972) 241-4496
Mailing address
PO BOX 93644, SOUTHLAKE, TX 76092-0115
(972) 484-7500
(972) 241-4496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K6107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030844701
—
TX
Enumeration date
07/25/2008
Last updated
02/24/2011
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