MEDICARE: MR. LOGAN THOMAS SMITH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA16831	TX

General Provider Information

NPI Number	:	1114615382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LOGAN THOMAS SMITH PA-C

Provider Business Mailing Address
First Line	:	8015 S COOPER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-7018
Country	:	US
Telephone Number	:	817-453-4440
Fax Number	:

Provider Business Practice Location Address
First Line	:	8015 S COOPER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-7018
Country	:	US
Telephone Number	:	817-453-4440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	04/26/2023

Similar Medicare Providers

1154366870 — VICTORIA W SERRALTA MD
Practice Location Address:

8015 S COOPER ST
ARLINGTON, TX
76001-7018

Practice Phone: 817-453-4440
Practice Fax: 817-453-7755

1245540202 — DERMATOLOGY & CUTANEOUS SURGERY PLLC
Practice Location Address:

8015 S COOPER ST
ARLINGTON, TX
76001-7018

Practice Phone: 817-453-4440
Practice Fax: 817-453-7755

1053274969 — DAVID BREFO
Practice Location Address:

7815 SALTON LN
ARLINGTON, TX
76001-5901

Practice Phone: 817-648-8126
Practice Fax:

1588526040 — MIND HAVEN PSYCHIATRY
Practice Location Address:

7000 US 287 FRONTAGE RD
ARLINGTON, TX
76001-7600

Practice Phone: 785-608-0450
Practice Fax:

1558310813 — MARK W REYNOLDS CRNA
Practice Location Address:

6506 REDSTONE CT
ARLINGTON, TX
76001-8108

Practice Phone: 817-419-9799
Practice Fax: 817-419-9759

1366489825 — ALBERTSONS LLC
Practice Location Address:

6220 HIGHWAY 287
ARLINGTON, TX
76001-2800

Practice Phone: 817-478-1313
Practice Fax: 817-478-0227

Directions to “ MR. LOGAN THOMAS SMITH PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.