NPI 1053004754
Mackenzie Logan
Practice location
- Address
- 908 Doral Cir, McKinney, TX 75069-5308
- Phone
- (214) 491-0624
- Mailing address
- 1111 W Mockingbird Ln STE 480, Dallas, TX 75247-5062
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1053004754
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 May 2023
- Record last updated
- 30 May 2023
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.