Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan Patrick Fettig

Individual provider Anesthesiologist Assistant · NPI 1023875192

Logan Patrick Fettig is an Anesthesiology Assistant in Houston, Texas. Qualified in 2024, 2 years ago. Practices with Baylor College of Medicine, a 1,218-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

6720 Bertner Ave
Houston, TX 77030-2604
Phone: (832) 355-2666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 789790200 (TX)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1023875192
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address6720 Bertner Ave, Houston, TX 77030-2604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Baylor College Of Medicine — 1218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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