Provider Demographics
NPI:1558361030
Name:SORGEN, NORMAN MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:MARK
Last Name:SORGEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5946208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0976748-01Medicaid
TXB26577Medicare UPIN
TX0976748-01Medicaid