DR. DIANE M ICENOGLE LEUSCHEN M.D. NPI 1508842311

NPI Information

  • NPI: 1508842311
  • Provider Name: DR. DIANE M ICENOGLE LEUSCHEN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 7400 MERTON MINTER
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 617-5300

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NPI Details

DR. Diane M Icenogle Leuschen, M.D. is a diagnostic radiology radiology in San Antonio, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Diane M Icenogle Leuschen, M.D. NPI is 1508842311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7400 MERTON MINTER
SAN ANTONIO, TX
ZIP 78229-404
Phone: (210) 617-5300
Fax: (210) 949-3350

The enumeration date for this NPI number is 12/22/2005 and was last updated on 10/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyJ8600TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18D8214OTHERTEXASMEDICARE ID - TYPE UNSPECIFIED
2J8600OTHERTEXASMEDICAL LICENSE
3G67615MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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