Healthcare Provider Details

I. General information

NPI: 1225182314
Provider Name (Legal Business Name): WAYNE LESLIE SAGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 MAMIES CIR
MIDLAND TX
79707-2123
US

IV. Provider business mailing address

4214 MAMIES CIR
MIDLAND TX
79707-2123
US

V. Phone/Fax

Practice location:
  • Phone: 432-620-8686
  • Fax: 432-682-1831
Mailing address:
  • Phone: 432-620-8686
  • Fax: 432-682-1831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberN2768
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: