Provider Demographics
NPI:1679629349
Name:SAWYER, DREW SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:SCOTT
Last Name:SAWYER
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 1:1305 W 34TH ST
Mailing Address - Street 2:SUITE 408
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1923
Mailing Address - Country:US
Mailing Address - Phone:512-593-5200
Mailing Address - Fax:512-593-5400
Practice Address - Street 1:1305 W 34TH ST
Practice Address - Street 2:SUITE 408
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1923
Practice Address - Country:US
Practice Address - Phone:512-593-5200
Practice Address - Fax:512-593-5400
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6985207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX308618302Medicaid
TX8DL137OtherBCBS
TX308618301Medicaid
TXN6985OtherTEXAS MEDICAL LICENSE
TX308618301Medicaid
TXN6985OtherTEXAS MEDICAL LICENSE