Cory Alan Logan, PA-C

NPI #1215384219 in Bedford, Texas

Provider Information

NPI Number: 1215384219
Entity Type: Individual
Name: Cory Alan Logan, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 19, 2016
Last Updated: Nov 12, 2019

Practice Location

Address: 1615 HOSPITAL PKWY STE 103
City: Bedford
State: Texas
ZIP Code: 76022-5935
Phone: (817) 354-2680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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