Individual
DR. LOGAN RUSS VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444
Mailing address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444
(903) 595-6650
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
S5515
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
MD-48350
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2016
Last updated
08/28/2025
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