Individual provider · Type 1 NPI

Clyde Lamar Logan Iii, DC

Chiropractor · Desoto, TX

NPI number 1679789499 Active

Practice location

1001 N Beckley Ave, Suite # 326-B
Desoto, TX 75115

Call (972) 709-9100 Map

Fax (972) 709-3500

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X8966 (TX)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1679789499

Clyde Lamar Logan Iii, DC's National Provider Identifier is 1679789499, issued on May 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Desoto, TX. The record was last updated on Jul 8, 2007.