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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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