PREMIER PAIN CONSULTANTS PLLC NPI 1558839795

NPI Information

NPI: 1558839795
Provider Name: PREMIER PAIN CONSULTANTS, PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2044961

Address:
5522 LONE STAR PKWY
SAN ANTONIO, TX
ZIP 78253
Phone: (210) 616-9400
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PREMIER PAIN CONSULTANTS, PLLC is a multi-specialty clinic center in San Antonio, TX. PREMIER PAIN CONSULTANTS, PLLC NPI is 1558839795. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5522 LONE STAR PKWY
SAN ANTONIO, TX
ZIP 78253-719
Phone: (210) 616-9400

The provider's authorized official is Tina Marie Batten .
The authorized official title is Office Manager and has the following contact phone number (210) 616-9400.

The CLIA number assigned to this NPI record is 45D2044961 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 11/6/2018.

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
1	208VP0014X	Pain Medicine	Interventional Pain Medicine			No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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
1	21146002	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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