Provider Demographics
NPI:1306001482
Name:NORMAN M. SORGEN, M.D., P.A.
Entity Type:Organization
Organization Name:NORMAN M. SORGEN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SORGEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-446-1116
Mailing Address - Street 1:2130 MOUNT FOREST DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1760
Mailing Address - Country:US
Mailing Address - Phone:713-963-8644
Mailing Address - Fax:713-963-0315
Practice Address - Street 1:2130 MOUNT FOREST DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-1760
Practice Address - Country:US
Practice Address - Phone:713-963-8644
Practice Address - Fax:713-963-0315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26577Medicare UPIN
TX00Z951Medicare PIN