=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770709370
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PATRICIA LYNETTE GOMEZ DINGER D.O.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2007
-----------------------------------------------------
Last Update Date | 10/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 540 MADISON OAK DR STE 450
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78258-3932
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-499-4824
-----------------------------------------------------
Fax | 210-499-4825
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 540 MADISON OAK DR STE 450
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78258-3932
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-499-4824
-----------------------------------------------------
Fax | 210-499-4825
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207KA0200X
-----------------------------------------------------
Taxonomy Name | Allergy Physician
-----------------------------------------------------
License Number | L9178
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207KA0200X
-----------------------------------------------------
Taxonomy Name | Allergy Physician
-----------------------------------------------------
License Number | 20A9583
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------