Individual
DMITRY V LISTENGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8550 HUEBNER ROAD, SAN ANTONIO, TX 78229-3915
(210) 541-5300
Mailing address
8109 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3311
(210) 575-8229
(210) 575-8127
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
34057
AZ
2084P0800X
Psychiatry Physician
Primary
M0152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212157603
—
TX
01
—
8CH279
BCBS
TX
01
—
8DJ858
BCBS
TX
05
—
942236
—
AZ
Enumeration date
04/01/2006
Last updated
08/31/2015
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