Organization
SAGESTAR HEALTH & WELLNESS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAMMA MATHEW RUSSELL DNP, FNP-BC, APRN (PRESIDENT/CEO/PROVIDER)
(713) 560-1459
Entity
Organization
Contact information
Practice address
2626 S LOOP W STE 430, HOUSTON, TX 77054-2649
(713) 560-1459
Mailing address
4918 BEEKMAN DR, MISSOURI CITY, TX 77459-1209
(713) 560-1459
(281) 972-9242
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
09/14/2022
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