Healthcare Provider Details

I. General information

NPI: 1114930195
Provider Name (Legal Business Name): BRIAN S SAYERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 38TH STE 110
AUSTIN TX
78705
US

IV. Provider business mailing address

1301 W 38TH STE 110
AUSTIN TX
78705
US

V. Phone/Fax

Practice location:
  • Phone: 512-454-3631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberG0064
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: