Individual provider · Type 1 NPI
Loralyn H. Logan, PA
Medical Physician Assistant · Houston, TX
NPI number
1174550370
Active
Practice location
710 FM 1960 Rd
Houston, TX 77090-3402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA04753 (TX) |
| Physician Assistant | 363A00000X | PA04753 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1174550370
Loralyn H. Logan, PA's National Provider Identifier is 1174550370, issued on Jun 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houston, TX. The record was last updated on Oct 3, 2012.