LOGAN BLAISE TACKETT DO
NPI 1245178441
Student in an Organized Health Care Education/Training Program in Denton, TX

Active since March 23, 2026
3535 S I 35 E, DENTON, TX 76210(940) 384-3013 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Logan Blaise Tackett Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN BLAISE TACKETT DO (NPI 1245178441) is an individual student in an organized health care education/training program in Denton, Texas and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1245178441
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLOGAN BLAISE TACKETTCredential: DO
Location Address3535 S I 35 EDenton, TX 76210-6850
Mailing Address128 Central AvePikeville, KY 41501-1354
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
NPI 1245178441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3535 S I 35 E, Denton, TX 76210

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3535 S I 35 E
DENTON, TX 76210
Physician Assistant
3535 S I 35 E
DENTON, TX 76210
Student in an Organized Health Care Education/Training Program
3535 S I 35 E
DENTON, TX 76210
Nurse Practitioner (Acute Care)
3535 S I 35 E
DENTON, TX 76210
Physician Assistant (Surgical)
3535 S I 35 E
DENTON, TX 76210
Nurse Anesthetist, Certified Registered
3535 S I 35 E
DENTON, TX 76210
Pathology (Anatomic Pathology & Clinical Pathology)
3535 S I 35 E
DENTON, TX 76210
Nurse Practitioner (Acute Care)
3535 S I 35 E
DENTON, TX 76210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Tackett's NPI number?

The NPI number for Logan Tackett is 1245178441. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Logan Tackett located?

Logan Tackett practices at 3535 S I 35 E, Denton, TX 76210. The listed phone number is (940) 384-3013.

What is Logan Tackett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Logan Tackett was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.