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NPI Code Detail

MEDICARE: KRISTIN L SAGEBIEL NP

MEDICARE: KRISTIN L SAGEBIEL NP
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
1363L00000XNurse Practitioner666881TX
2363LG0600XGerontology Nurse PractitionerAP114114TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18N9288OTHERTXBLUE CROSS/BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487690251
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN L SAGEBIEL NP
Provider Business Mailing Address
First Line : 8511 S SAM HOUSTON PKWY E
Second Line : SUITE 101
City : HOUSTON
State : TX
Zip : 77075-4874
Country : US
Telephone Number : 713-343-2301
Fax Number :
Provider Business Practice Location Address
First Line : 1108 LAVACA ST STE 110-320
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2172
Country : US
Telephone Number : 512-477-4088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 02/08/2024

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Directions to “ KRISTIN L SAGEBIEL NP” Practice Location

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