Healthcare Provider Details
I. General information
NPI: 1467837039
Provider Name (Legal Business Name): STEPHEN DINGER DO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2015
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
112 HERFF RD STE 320
BOERNE TX
78006-2750
US
IV. Provider business mailing address
5000 SCHERTZ PKWY STE 400
SCHERTZ TX
78154-1457
US
V. Phone/Fax
- Phone: 210-495-7246
- Fax: 210-495-7245
- Phone: 210-495-7246
- Fax: 210-495-7245
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHEN
W
DINGER
Title or Position: DO/OWNER
Credential: DO
Phone: 210-495-7246