INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA NPI 1124247119

NPI Information

  • NPI: 1124247119
  • Provider Name: INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 110 STONE OAK LOOP
    SUITE 103
    SAN ANTONIO, TX
    ZIP 78258
  • Phone: (210) 268-0129

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NPI Details

INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA 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. INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA NPI is 1124247119. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 STONE OAK LOOP
SUITE 103
SAN ANTONIO, TX
ZIP 78258-511
Phone: (210) 268-0129
Fax: (210) 497-8333

The provider's authorized official is Leslie Longoria .
The authorized official title is Credentialing Specialist and has the following contact phone number (210) 268-0129.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 4/1/2021.

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
1174400000XSpecialistJ5738TEXASNo
2208VP0014XPain MedicineInterventional Pain MedicineYes

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
1080538401MEDICAIDTEXAS

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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