| Sagewood Pediatrics | |
|
111 S Ohio St Celina TX 75009-6515 | |
| (469) 224-8599 | |
| (833) 764-4788 |
| Full Name | Sagewood Pediatrics |
|---|---|
| Speciality | Family Medicine |
| Location | 111 S Ohio St, Celina, Texas |
| Authorized Official Name and Position | Blair Thwaites (OWNER) |
| Authorized Official Contact | 8172288347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagewood Pediatrics 111 S Ohio St Celina TX 75009-6515 Ph: (469) 224-8599 | Sagewood Pediatrics 111 S Ohio St Celina TX 75009-6515 Ph: (469) 224-8599 |
| NPI Number | 1356223390 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 09/29/2026 |
| Certification Date | 09/29/2026 |
| Medicare PECOS PAC ID | 9032608252 |
|---|---|
| Medicare Enrollment ID | O20251029000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356223390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Blair Thwaites |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033649520 PECOS PAC ID: 3678842879 Enrollment ID: I20201109000875 |
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