Organization
ORTHOPEDIC AND SPORTS MEDICINE
Active
Organization
ORTHOPEDIC AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DEGNAN SANDOVAL M.D. (PARTNER)
(903) 870-7936
Entity
Organization
Contact information
Practice address
321 N HIGHLAND AVE STE 120, SHERMAN, TX 75092-7371
(903) 870-7936
(903) 957-0367
Mailing address
321 N HIGHLAND AVE STE 120, SHERMAN, TX 75092
(903) 870-7936
(903) 957-0367
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095CG
BLUE CROSS BLUE SHIELD
TX
05
—
079825801
—
TX
05
—
100755120A
—
OK
Enumeration date
06/08/2006
Last updated
05/25/2022
Update your record
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