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Logan Spacek
NPI 1750767984 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5810 Ponderosa St
Colleyville, TX 76034 - Phone
- (979) 716-9292
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-11
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