Provider Demographics
NPI:1346469566
Name:DIERINGER, NORBERT JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:NORBERT
Middle Name:JOHN
Last Name:DIERINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BLANCO
Mailing Address - State:TX
Mailing Address - Zip Code:78606-4877
Mailing Address - Country:US
Mailing Address - Phone:830-833-1237
Mailing Address - Fax:
Practice Address - Street 1:916 7TH ST
Practice Address - Street 2:
Practice Address - City:BLANCO
Practice Address - State:TX
Practice Address - Zip Code:78606-4877
Practice Address - Country:US
Practice Address - Phone:830-833-1237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0297207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology