Provider Demographics
NPI:1770709370
Name:DINGER, PATRICIA LYNETTE GOMEZ (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LYNETTE GOMEZ
Last Name:DINGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:LYNETTE
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:540 MADISON OAK DR
Mailing Address - Street 2:#210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3943
Mailing Address - Country:US
Mailing Address - Phone:210-499-4824
Mailing Address - Fax:210-499-4825
Practice Address - Street 1:540 MADISON OAK DR
Practice Address - Street 2:#210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3943
Practice Address - Country:US
Practice Address - Phone:210-499-4824
Practice Address - Fax:210-499-4825
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9583207KA0200X
TXL9178207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty