Provider Demographics
| NPI: | 1043423239 |
|---|---|
| Name: | NORMAN MURRAY SAWYERS |
| Entity type: | Organization |
| Organization Name: | NORMAN MURRAY SAWYERS |
| 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: | SAWYERS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DDS |
| Authorized Official - Phone: | 361-576-1235 |
| Mailing Address - Street 1: | 103 PROFESSIONAL PARK DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | VICTORIA |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77904-2351 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 361-576-1235 |
| Mailing Address - Fax: | 361-573-4113 |
| Practice Address - Street 1: | 103 PROFESSIONAL PARK DR |
| Practice Address - Street 2: | |
| Practice Address - City: | VICTORIA |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77904-2351 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 361-576-1235 |
| Practice Address - Fax: | 361-573-4113 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-05-07 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | 11532 | 1223E0200X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1223E0200X | Dental Providers | Dentist | Endodontics | Group - Single Specialty |