Provider Demographics
NPI:1366645970
Name:SAWYER, RYAN ALEXANDER (AUD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:ALEXANDER
Last Name:SAWYER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 S ALAMEDA ST
Mailing Address - Street 2:SUITE # 506
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1882
Mailing Address - Country:US
Mailing Address - Phone:361-855-3000
Mailing Address - Fax:361-855-0423
Practice Address - Street 1:3301 S ALAMEDA ST
Practice Address - Street 2:SUITE # 506
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1882
Practice Address - Country:US
Practice Address - Phone:361-855-3000
Practice Address - Fax:361-855-0423
Is Sole Proprietor?:No
Enumeration Date:2007-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51345231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist