SAGESTAR HEALTH & WELLNESS CLINIC PLLC NPI 1164140984

NPI Information

  • NPI: 1164140984
  • Provider Name: SAGESTAR HEALTH & WELLNESS CLINIC PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2626 S LOOP W STE 430
    HOUSTON, TX
    ZIP 77054
  • Phone: (713) 560-1459

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NPI Details

SAGESTAR HEALTH & WELLNESS CLINIC PLLC is a primary care clinic center in Houston, TX. SAGESTAR HEALTH & WELLNESS CLINIC PLLC NPI is 1164140984. The provider is registered as an organization entity type.

The provider's business location address is:

2626 S LOOP W STE 430
HOUSTON, TX
ZIP 77054-649
Phone: (713) 560-1459

The provider's authorized official is Saramma Mathew Russell .
The authorized official title is President/ceo/provider and has the following contact phone number (713) 560-1459.

The enumeration date for this NPI number is 8/17/2022 and was last updated on 9/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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