Adina Manuela Logan MD PA
Internal Medicine in Irving, TX. Organization (NPI-2).
NPI number1457516759
StatusActive
Last updated in NPPESFeb 24, 2011
Details
- NPI
- 1457516759
- Entity type
- Organization (NPI-2)
- Legal business name
- Adina Manuela Logan MD PA
- Organization subpart
- No
- Enumeration date
- Jul 25, 2008
- Last updated
- Feb 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | K6107 | TX | Yes |
Practice location
701 TuscanSuite 145
Irving, TX 75039-3834
Phone 972-484-7500 · Fax 972-241-4496
Mailing address
Po Box 93644Southlake, TX 76092-0115
Phone 972-484-7500 · Fax 972-241-4496
Authorized official
Adina Manuela Logan
Owner
9724847500
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