Individual
DR. STEPHEN DEGNAN SANDOVAL
Active
Individual
DR. STEPHEN DEGNAN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M6863
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
M6863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196461101
—
TX
05
—
200198900A
—
OK
01
—
8BJ960
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/12/2007
Last updated
11/27/2023
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