Individual provider · Type 1 NPI

Logan Ray Rencher, DO

Pediatric Emergency Medicine (Pediatrics) Physician · Fort Worth, TX

NPI number 1104142371 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Fax (682) 885-7499

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XBP10036643 (TX)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XP6899 (TX)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1104142371

Logan Ray Rencher, DO's National Provider Identifier is 1104142371, issued on Apr 13, 2010. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 7, 2022.