Provider Demographics
NPI:1407193923
Name:SABONGHY, NAGWA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGWA
Middle Name:
Last Name:SABONGHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 IVY WALL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5067
Mailing Address - Country:US
Mailing Address - Phone:281-221-5675
Mailing Address - Fax:281-558-8253
Practice Address - Street 1:923 IVY WALL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5067
Practice Address - Country:US
Practice Address - Phone:281-221-5675
Practice Address - Fax:281-558-8253
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXFO659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine