Organization
SAGE FAMILY MEDICINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELLIE VILLANUEVA (OFFICEMANAGER)
(830) 278-4588
Entity
Organization
Contact information
Practice address
1020 E LEONA RD, UVALDE, TX 78801-4804
(830) 278-4588
(830) 278-4895
Mailing address
1020 E LEONA RD, UVALDE, TX 78801-4804
(830) 278-4588
(830) 278-4895
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
G8473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063436201
—
TX
Enumeration date
08/18/2008
Last updated
02/01/2022
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