Individual
MR. CLYDE LAMAR LOGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1001 N BECKLEY AVE, SUITE # 326-B, DESOTO, TX 75115
(972) 709-9100
(972) 709-3500
Mailing address
1001 N BECKLEY AVE, SUITE # 326-B, DESOTO, TX 75115
(972) 709-9100
(972) 709-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8966
TX
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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