Healthcare Provider Details

I. General information

NPI: 1275888679
Provider Name (Legal Business Name): STEPHEN DINGER DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17766 VERDE PARKWAY, SUITE 260
SCHERTZ TX
78154
US

IV. Provider business mailing address

5000 SCHERTZ PKWY STE 400
SCHERTZ TX
78154-1457
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberM1636
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN W DINGER
Title or Position: PRESIDENT
Credential: DO
Phone: 210-495-7246