Healthcare Provider Details

I. General information

NPI: 1356774319
Provider Name (Legal Business Name): STEPHEN DINGER DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18585 SIGMA RD STE 104
SAN ANTONIO TX
78258-4204
US

IV. Provider business mailing address

PO BOX 117475
CARROLLTON TX
75011-7475
US

V. Phone/Fax

Practice location:
  • Phone: 210-495-7246
  • Fax: 210-495-7245
Mailing address:
  • Phone: 210-495-7246
  • Fax: 210-495-7245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN DINGER
Title or Position: OWNER/PRESIDENY
Credential: DO
Phone: 210-495-7246