NPI 1023875192

Logan Patrick Fettig

Practitioner Anesthesiologist Assistant Houston, TX

Practice location

Address: 6720 Bertner Ave, Houston, TX 77030-2604
Phone: (832) 355-2666

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 789790200 (TX)

Other Anesthesiologist Assistant providers in Texas →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

Registry record

NPI: 1023875192
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2024
Record last updated: 22 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.