Healthcare Provider Details

I. General information

NPI: 1770288987
Provider Name (Legal Business Name): WILLIAM CHRISTOPHER STEHNACH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 BERGQUIST DR 2ND FLOOR, WING D
LACKLAND AIR FORCE BASE TX
78236-9911
US

IV. Provider business mailing address

714 MCCULLOUGH AVE APT 129
SAN ANTONIO TX
78215-1173
US

V. Phone/Fax

Practice location:
  • Phone: 210-292-8218
  • Fax:
Mailing address:
  • Phone: 618-670-7620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0102209070
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: