Provider Demographics
NPI:1508443003
Name:SAGEN, ROMY (DC)
Entity Type:Individual
Prefix:
First Name:ROMY
Middle Name:
Last Name:SAGEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S LOOP 288 STE 106
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-4706
Mailing Address - Country:US
Mailing Address - Phone:940-435-0505
Mailing Address - Fax:
Practice Address - Street 1:2757 E SOUTHLAKE BLVD STE A110
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-8014
Practice Address - Country:US
Practice Address - Phone:913-302-4587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor