Healthcare Provider Details

I. General information

NPI: 1790039253
Provider Name (Legal Business Name): BRANDI RENEE SAWYER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S PRAIRIE ST STE D
DAYTON TX
77535-0067
US

IV. Provider business mailing address

101 S PRAIRIE ST STE D
DAYTON TX
77535-0067
US

V. Phone/Fax

Practice location:
  • Phone: 936-340-5117
  • Fax: 936-257-8284
Mailing address:
  • Phone: 936-340-5117
  • Fax: 936-257-8284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number730045
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: