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NPI Code Detail

MEDICARE: SAGE HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY

MEDICARE: SAGE HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1730760141
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAGE HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Provider Business Mailing Address
First Line : 8108 MODESTO DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-8545
Country : US
Telephone Number : 682-246-7323
Fax Number :
Provider Business Practice Location Address
First Line : 1011 N COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5517
Country : US
Telephone Number : 817-404-2287
Fax Number :
Authorized Official
Title or Position : CEO
Name : SAAGHE FOGWE
Credential :
Telephone Number : 682-246-7323
Provider Enumeration Date : 04/16/2021
Last Update Date : 04/16/2021

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Directions to “SAGE HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY ” Practice Location

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