MEDICARE: SAGE HEALTH LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1447050224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGE HEALTH LLC

Provider Business Mailing Address
First Line	:	8035 E R L THORNTON FWY STE 235
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-7037
Country	:	US
Telephone Number	:	214-427-0934
Fax Number	:	214-389-2355

Provider Business Practice Location Address
First Line	:	8035 E R L THORNTON FWY STE 235
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-7037
Country	:	US
Telephone Number	:	214-427-0934
Fax Number	:	214-389-2355

Authorized Official
Title or Position	:	CEO
Name	:	JACQUELINE ROGERS
Credential	:	NURSE PRACTITIONER
Telephone Number	:	214-427-0934

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	02/03/2026

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Directions to “SAGE HEALTH LLC ” Practice Location

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