Adina Manuela Logan MD PA
Organization Active NPI Internal Medicine Physician · Irving, TX
NPI 1457516759 · NPPES record last updated Feb 24, 2011
Key facts
- NPI
- 1457516759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- K6107 (TX)
- Legal business name
- ADINA MANUELA LOGAN MD PA
- Practice address
- 701 Tuscan
Suite 145
Irving, TX 75039-3834 - Phone
- (972) 484-7500
- Fax
- (972) 241-4496
- NPI assigned
- Jul 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Adina Manuela Logan, M.D.
- Title
- Owner
- Phone
- (972) 484-7500
National Provider Directory
Locations
8686 New Trails Dr
#1
The Woodlands, TX 77381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | K6107 | TX | Yes |
Addresses
Primary practice location
701 Tuscan
Suite 145
Irving, TX 75039-3834
Mailing address
PO Box 93644
Southlake, TX 76092-0115
Phone (972) 484-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030844701 | Medicaid | TX |
Other providers in Irving, TX
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- Hope Danae Adkins
- Amanda Danielle Adorable
- Adria Duplessis, NP-C, PLLC
- Advance Counseling Centre
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All providers in Irving, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.