Provider Demographics
NPI:1922601624
Name:SAYRE, DANA N (MA RDT)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:N
Last Name:SAYRE
Suffix:
Gender:F
Credentials:MA RDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6503 BLUFF SPRINGS RD APT 915
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-3473
Mailing Address - Country:US
Mailing Address - Phone:415-952-6850
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4298
Practice Address - Country:US
Practice Address - Phone:415-952-6850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY765
TX