Dr Meryl Simon Logan, MD | |
1901 Veterans Memorial Dr, Temple, TX 76504-7445 | |
(254) 743-1036 | |
Not Available |
Full Name | Dr Meryl Simon Logan |
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Gender | Female |
Speciality | Surgery - Vascular Surgery |
Location | 1901 Veterans Memorial Dr, Temple, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730513482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | S6438 (Texas) | Primary |
Entity Name | Metroplex Clinic Physicians, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891730396 PECOS PAC ID: 9537183124 Enrollment ID: O20060123000433 |
Mailing Address | Practice Location Address |
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Dr Meryl Simon Logan, MD 5526 Shire Dr, Belton, TX 76513-5880 Ph: (516) 644-0953 | Dr Meryl Simon Logan, MD 1901 Veterans Memorial Dr, Temple, TX 76504-7445 Ph: (254) 743-1036 |
Dr. John W Fitzwater, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 Phone: 813-554-8384 | |
Grace Ng, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. John C. Hendricks, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. William Todd Bohannon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Robert Scott Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603 | |
Dr. Jacqueline Ann Lappin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Doris Sophia Li, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |