Individual
WILLIAM PATRICK SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 MEDICAL DRIVE, SUITE 1, VICTORIA, TX 77904-3102
(361) 573-4331
(361) 573-5096
Mailing address
117 MEDICAL DRIVE, SUITE 1, VICTORIA, TX 77904-3102
(361) 573-4331
(361) 573-5096
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D6160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126188501
—
TX
01
—
214881
GROUP MEDICARE PTAN
IL
01
—
4365757
AETNA
TX
01
—
84K502
BCBS
TX
Enumeration date
11/02/2005
Last updated
08/18/2016
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