Provider Demographics
NPI:1467224345
Name:LOGAN FELIX & ASSOCIATES PC
Entity Type:Organization
Organization Name:LOGAN FELIX & ASSOCIATES PC
Other - Org Name:INFECTIOUS DISEASE SOUTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-231-4379
Mailing Address - Street 1:2300 S HOUGHTON RD # 250
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-0002
Mailing Address - Country:US
Mailing Address - Phone:520-231-4379
Mailing Address - Fax:520-677-4379
Practice Address - Street 1:2300 S HOUGHTON RD STE 250
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85748-0002
Practice Address - Country:US
Practice Address - Phone:520-231-4379
Practice Address - Fax:520-677-4379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty