Provider Demographics
NPI:1508109208
Name:STEPHEN DINGER DO PLLC
Entity Type:Organization
Organization Name:STEPHEN DINGER DO PLLC
Other - Org Name:ADVANCED PAIN MANAGEMENT AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-495-7246
Mailing Address - Street 1:540 MADISON OAK DR
Mailing Address - Street 2:STE 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3943
Mailing Address - Country:US
Mailing Address - Phone:210-495-7246
Mailing Address - Fax:210-499-4825
Practice Address - Street 1:540 MADISON OAK DR
Practice Address - Street 2:STE 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3943
Practice Address - Country:US
Practice Address - Phone:210-495-7246
Practice Address - Fax:210-499-4825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Multi-Specialty