Healthcare Provider Details

I. General information

NPI: 1992806293
Provider Name (Legal Business Name): EARL M STENGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 MEDICAL DR SUITE 6300
SAN ANTONIO TX
78229-5640
US

IV. Provider business mailing address

4242 MEDICAL DR SUITE 6300
SAN ANTONIO TX
78229-5640
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-8400
  • Fax: 210-614-8165
Mailing address:
  • Phone: 210-614-8400
  • Fax: 210-614-8165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD7315
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: