Diane M Icenogle Leusch in San Antonio - Diagnostic Radiology
Diane M Icenogle Leusch - NPI 1508842311
Diane M Icenogle Leusch is a Diagnostic Radiology in San Antonio, Texas. Diane M Icenogle Leusch practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Diane M Icenogle Leusch is 1508842311. The last update date is 2009-10-14.
Diane M Icenogle Leusch's current location address is 7400 Merton Minter, San Antonio, Texas. You can contact this provider via phone number 2106175300 and fax number 2109493350. The mailing address for Diane M Icenogle Leusch is 7400 Merton Minter, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane M Icenogle Leusch |
|---|---|
| Address | 7400 Merton Minter, San Antonio, Texas |
| Phone Number | 2106175300 |
| Fax Number | 2109493350 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508842311 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2009-10-14 |
Provider Mailing Address Detail
| Address | 7400 Merton Minter |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782294404 |
| Phone Number | 2106175300 |
| Fax Number | 2109493350 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | J8600 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J8600 | TX | MEDICAL LICENSE | |
| 8D8214 | TX | MEDICARE ID - TYPE UNSPECIFIED |
Post Comment/ Review Below
What is the Diane M Icenogle Leusch's unique identification number?
The Diane M Icenogle Leusch has been assigned the NPI (National Provider Identifier) Number 1508842311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Diane M Icenogle Leusch?
The Diane M Icenogle Leusch is situated at 7400 Merton Minter, in the city of San Antonio, state of TX, with the zip code 782294404.
What is Diane M Icenogle Leusch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diane M Icenogle Leusch's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508842311 to Diane M Icenogle Leusch?
The Centers for Medicare & Medicaid Services originally issued the 1508842311 to Diane M Icenogle Leusch on 2005-12-22.
When was the information pertaining to Diane M Icenogle Leusch most recently updated or revised?
The details related to Diane M Icenogle Leusch, including its address, specialty, and other relevant information, were last updated or revised on 2009-10-14.