1720225931 NPI number — TOM SOWASH OD & ASSOCIATES, PC

Table of content: MRS. NORMA PICIO CRUZ M.D. (NPI 1538216262)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720225931 NPI number — TOM SOWASH OD & ASSOCIATES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOM SOWASH OD & ASSOCIATES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720225931
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11103 WEST AVE
Provider Second Line Business Mailing Address:
STE. 6
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78213-1338
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-524-6663
Provider Business Mailing Address Fax Number:
210-524-6587

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9039 E INDIAN BEND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85250-8521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-948-2020
Provider Business Practice Location Address Fax Number:
480-948-3193
Provider Enumeration Date:
01/09/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SOWASH
Authorized Official First Name:
TOM
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
720-570-0660

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)