Provider Demographics
NPI:1992806293
Name:STENGER, EARL M (MD)
Entity type:Individual
Prefix:
First Name:EARL
Middle Name:M
Last Name:STENGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4242 MEDICAL DR
Mailing Address - Street 2:SUITE 6300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5640
Mailing Address - Country:US
Mailing Address - Phone:210-614-8400
Mailing Address - Fax:210-614-8165
Practice Address - Street 1:4242 MEDICAL DR
Practice Address - Street 2:SUITE 6300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5640
Practice Address - Country:US
Practice Address - Phone:210-614-8400
Practice Address - Fax:210-614-8165
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD73152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097346301Medicaid
TX94128OtherCARELINK
TX88441HOtherBCBS
TXG0110951OtherDPS
TXG0110951OtherDPS
TX88441HOtherBCBS
TX94128OtherCARELINK