OrganizationActive
Adina Manuela Logan MD PA
NPI 1457516759 · Internal Medicine Physician · Irving, TX
Provider details
- NPI number
- 1457516759
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Adina Logan, Owner
- License
- K6107 (TX)
Practice location
701 Tuscan
Suite 145
Irving, TX 75039-3834
Phone: (972) 484-7500
Fax: (972) 241-4496
Mailing address
Po Box 93644
Southlake, TX 76092-0115
Registry dates
- Enumerated
- 2008-07-25
- Last updated
- 2011-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.