Individual
IGOR V LEGOSTAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
344 FUNSTON PL, SAN ANTONIO, TX 78209-6819
(706) 767-3688
Mailing address
344 FUNSTON PL, SAN ANTONIO, TX 78209-6819
(706) 767-3688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58067
GA
208M00000X
Hospitalist Physician
Primary
U0150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00637907
RR MEDICARE
GA
Enumeration date
07/05/2006
Last updated
01/10/2023
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