MEDICARE: RICHARD A. SAWYERS, M.D., P.A.

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
1	2084N0400X	Neurology Physician	E2843	TX

General Provider Information

NPI Number	:	1417097890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD A. SAWYERS, M.D., P.A.

Provider Business Mailing Address
First Line	:	2700 CITIZENS PLAZA
Second Line	:	SUITE #303
City	:	VICTORIA
State	:	TX
Zip	:	77901-5757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 CITIZENS PLAZA
Second Line	:	SUITE #303
City	:	VICTORIA
State	:	TX
Zip	:	77901-5757
Country	:	US
Telephone Number	:	361-579-1341
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD SAWYERS
Credential	:
Telephone Number	:	361-579-1341

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/11/2007

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