Individual
DR. ERIC SABONGHY
Active
Individual
DR. ERIC SABONGHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L0558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613174800
DEPARTMENT OF LABOR
TX
01
—
7857805
AETNA
TX
01
—
8AA920
BLUE CROSS AND BLUE SHIELD OF TEXAS
TX
Enumeration date
12/10/2005
Last updated
10/11/2018
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