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NPI Code Detail

MEDICARE: MABEL MARTHA SAWYERR PMHNP-BC

MEDICARE: MABEL MARTHA SAWYERR PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1230118TX

General Provider Information

NPI Number : 1083556104
Entity Type Code : Individual
Provider Name (Legal Business Name) : MABEL MARTHA SAWYERR PMHNP-BC
Provider Business Mailing Address
First Line : 5353 KELLER SPRINGS RD APT 1923
Second Line :
City : DALLAS
State : TX
Zip : 75248-2766
Country : US
Telephone Number : 469-924-2278
Fax Number :
Provider Business Practice Location Address
First Line : 5353 KELLER SPRINGS RD APT 1923
Second Line :
City : DALLAS
State : TX
Zip : 75248-2766
Country : US
Telephone Number : 469-924-2278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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