Organization
D V LISTENGARTEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY V LISTENGARTEN MD (OWNER)
(713) 859-2978
Entity
Organization
Contact information
Practice address
8550 HUEBNER RD, SAN ANTONIO, TX 78240
(210) 541-5300
Mailing address
10004 WURZBACH RD, 332, SAN ANTONIO, TX 78230
(713) 859-2978
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M0152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212157603
—
TX
Enumeration date
09/03/2015
Last updated
09/03/2015
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