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Organization
SAGE FAMILY MEDICINE, PA
Active
Organization
SAGE FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER GILDERSLEEVE MD (PRESIDENT)
(512) 244-0446
Entity
Organization
Contact information
Practice address
1000 HESTERS CROSSING, 200, ROUND ROCK, TX 78681
(512) 244-0446
Mailing address
1000 HESTERS CROSSING, 200, ROUND ROCK, TX 78681
(512) 244-0446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6632
TX
Other
Enumeration date
06/22/2007
Last updated
03/25/2008
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