Individual
NICOLE SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132
(407) 782-9094
Mailing address
17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132
(407) 782-9094
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
NURSING SERVICE RELATED PROVIDERS TYPE
TX
05
—
0000000000000000
—
TX
Enumeration date
03/04/2020
Last updated
03/04/2020
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