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Dr. Diane M Icenogle Leuschen, MD
Diagnostic Radiology Physician in San Antonio, Texas
NPI 1508842311

Diane M Icenogle Leuschen is a Diagnostic Radiology Physician based in San Antonio, TX and is specialized in Diagnostic Radiology. Diane M Icenogle Leuschen practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Diane M Icenogle Leuschen is 1508842311 and holds a License No. J8600 (Texas).

The current practice location address for Diane M Icenogle Leuschen is 7400 Merton Minter, San Antonio, TX and can be reached out via phone at 210-617-5300 and via fax at 210-949-3350.

Location: 7400 Merton Minter, San Antonio, TX, 78229-4404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508842311
Provider Name
Diane M Icenogle Leuschen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7400 Merton Minter, San Antonio, TX, 78229-4404
Phone Number
210-617-5300
Fax Number
210-949-3350
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J8600 01 TX MEDICAL LICENSE
8D8214 01 TX MEDICARE ID - TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
7400 Merton Minter
City
San Antonio
State
Texas
Zip
78229-4404
Phone Number
210-617-5300
Fax Number
210-949-3350
person
Provider Business Mailing Address Details
Address
7400 Merton Minter
City
San Antonio
State
Texas
Zip
78229-4404
Phone Number
210-617-5300
Fax Number
210-949-3350
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
J8600 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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