Healthcare Provider Details

I. General information

NPI: 1932523685
Provider Name (Legal Business Name): STEPHEN DINGER DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 SCHERTZ PKWY STE 400
SCHERTZ TX
78154-1457
US

IV. Provider business mailing address

5000 SCHERTZ PKWY STE. 400
SCHERTZ TX
78154-1399
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

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