LOGAN RAY RENCHER

FORT WORTH, TX
NPI1104142371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: TX  P6899)
Additional Taxonomies208000000X Pediatrics
(Licence: TX  BP10036643)
Enumeration Date2010-04-13
Last Update Date2022-11-07
Business Address
LOGAN RAY RENCHER DO
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4095
Mailing Address
LOGAN RAY RENCHER DO
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483