Clyde Lamar Logan III, DC

Chiropractor · Desoto, TX

Individual Active NPI

NPI number 1679789499

Practice location

1001 N Beckley Ave
Suite # 326-B
Desoto, TX 75115
Phone
(972) 709-9100
Fax
(972) 709-3500

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NPI record

NPI
1679789499
Entity type
Individual (Type 1)
Enumeration date
May 16, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 8966 TX

About Dr. Logan

Clyde Lamar Logan III, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1001 N Beckley Ave, Suite # 326-B, Desoto, TX 75115. The NPI number 1679789499 was assigned on May 16, 2007 and the record was last updated on July 8, 2007.

Dr. Logan lists a license in the registry: #8966 (TX) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clyde Lamar Logan III, DC?

The NPI number is 1679789499.

What is the phone number of Dr. Logan?

The phone number listed for the practice location is (972) 709-9100.

Where is Dr. Logan located?

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

What is the taxonomy code for Dr. Logan?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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