Listengarten, Dmitry V

Listengarten, Dmitry V is an individual health care provider with primary practice located at 8550 Huebner Road , San Antonio TX 78229-3915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Listengarten, Dmitry V can be contacted via phone (210) 541-5300.

Contact Information

Primary practice address
8550 Huebner Road San Antonio TX 78229-3915
Phone: (210) 541-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34057 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M0152 Texas

Profile Details

NPI number 1669433173
LBN Legal business name Listengarten, Dmitry V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Aug 31st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669433173 NPPES
Texas Other 8CH279 BCBS
Texas Other 8DJ858 BCBS
Texas MEDICAID 942236 BCBS
Texas MEDICAID 212157603 BCBS

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