Organization Active NPI

Sagestar Health & Wellness Clinic PLLC

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1164140984
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAGESTAR HEALTH & WELLNESS CLINIC PLLC
Practice address
2626 S Loop W Ste 430
Houston, TX 77054-2649
Phone
(713) 560-1459
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Saramma Mathew Russell, DNP, FNP-BC, APRN
Title
President/Ceo/Provider
Phone
(713) 560-1459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2626 S Loop W Ste 430
Houston, TX 77054-2649

Mailing address

4918 Beekman Dr
Missouri City, TX 77459-1209
Phone (713) 560-1459

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1164140984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 BEEKMAN DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591209",
            "telephone_number": "713-560-1459",
            "fax_number": "281-972-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542649",
            "telephone_number": "713-560-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGESTAR HEALTH & WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SARAMMA",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "PRESIDENT/CEO/PROVIDER",
        "authorized_official_telephone_number": "713-560-1459",
        "authorized_official_credential": "DNP, FNP-BC, APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.