Adina Manuela Logan MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K6107 Issued in 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

Last updated

Feb 24, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adina Manuela Logan, M.D.

Title

Owner

Phone

(972) 484-7500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1457516759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93644",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920115",
            "telephone_number": "972-484-7500",
            "fax_number": "972-241-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TUSCAN",
            "address_2": "SUITE 145",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393834",
            "telephone_number": "972-484-7500",
            "fax_number": "972-241-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADINA MANUELA LOGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ADINA",
        "authorized_official_middle_name": "MANUELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-484-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.