Individual
PHILLIP L FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
311 CAMDEN ST, SUITE 208, SAN ANTONIO, TX 78215-2012
(210) 892-0228
(210) 455-0169
Mailing address
311 CAMDEN ST, SUITE 208, SAN ANTONIO, TX 78215-2012
(210) 892-0228
(210) 694-0035
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L5336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173424603
—
TX
Enumeration date
05/26/2006
Last updated
10/04/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us