NPI: 1003835133
Provider Name: PREMIER PAIN CONSULTANTS, PLLC
Former Legal Business Name: PREMIER PAIN CONSULTANTS, P.A.
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization
Specialization: Interventional Pain Medicine
CLIA Number: 45D2151179
Address:
2425 BABCOCK RD STE 108
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 616-9400
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PREMIER PAIN CONSULTANTS, PLLC is an interventional pain medicine pain medicine in San Antonio, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PREMIER PAIN CONSULTANTS, PLLC NPI is 1003835133. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Premier Pain Consultants, P.a..
The provider's business location address is:
2425 BABCOCK RD STE 108
SAN ANTONIO, TX
ZIP 78229-899
Phone: (210) 616-9400
Fax: (210) 616-9402
The provider's authorized official is Dmitriy Buyanov .
The authorized official title is President and has the following contact phone number (210) 616-9400.
The CLIA number assigned to this NPI record is 45D2151179 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/19/2006 and was last updated on 1/13/2014.