Logan Spiddle

NPI 1538650791 · on the registry since 2018

Practice

Address: 1100 Circle Dr
Fort Worth, TX 76119
Phone: (817) 566-1100
Organisation at this address: Autistic Treatment Center Inc
Autistic Treatment Center, Inc.
Rw Boss Health Masters Homecare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas