Individual provider Active NPI

Logan Gentry Clemons, MD

  • Anesthesiology Physician
  • Fort Sam Houston, TX
National Provider Identifier
1922531094
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101265704 Issued in VA
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 916-9100
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101265704 VA
Anesthesiology Physician 207L00000X 0101265704 VA Primary
Anesthesiology Physician 207L00000X T3755 TX

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

2200 Bergquist Dr
Jbsa Lackland, TX 78236-9907

Other practice location 1

2200 Bergquist Dr
Ste 1
Jbsa Lackland, TX 78236-9907
Phone (210) 916-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714001496 TX Practitioner - Anesthesiology 9335520808 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
Lone Star Anesthesia Partners PLLCGroup PAC ID 4880072636, 58 clinicians
Allen Anesthesia AssociatesGroup PAC ID 2264477140, 94 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000

4510 Medical Ctr Dr
Suite 211
McKinney, TX 75069-1602
Phone (469) 541-1600

5106 W Loop 1604
San Antonio, TX 78251-4408
Phone (726) 243-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T3755TXMDAnesthesiology Physician
0101265704VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Jun 8, 2025 Accepting new patients
Lone Star Anesthesia Partners PLLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology Current Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Jun 8, 2025 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients

Locations

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

123 N Loop 1604 E
Ste 107
San Antonio, TX 78232
Phone (210) 267-1374

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1922531094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782369907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Bergquist Dr",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782369907",
            "country_code": "US",
            "telephone_number": "210-916-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "LOGAN",
        "middle_name": "GENTRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101265704",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101265704",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "T3755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.