MEDICAL TECHNOLOGY PROVIDER LLC NPI 1619362357

NPI Information

  • NPI: 1619362357
  • Provider Name: MEDICAL TECHNOLOGY PROVIDER, LLC
  • Classification: Specialist/Technologist, Other - 246ZE0600X
  • Specialization: Electroneurodiagnostic
  • Entity Type: Organization
  • Address: 2425 BABCOCK RD
    STE. 102
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 298-6630

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NPI Details

MEDICAL TECHNOLOGY PROVIDER, LLC is an electroneurodiagnostic specialist technologist other in San Antonio, TX. MEDICAL TECHNOLOGY PROVIDER, LLC NPI is 1619362357. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2425 BABCOCK RD
STE. 102
SAN ANTONIO, TX
ZIP 78229-898
Phone: (210) 298-6630

The provider's authorized official is Dmitriy Buyanov .
The authorized official title is President and has the following contact phone number (210) 298-6630.

The enumeration date for this NPI number is 3/31/2015 and was last updated on 3/31/2015.

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
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticYes

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: 3/30/2025

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