Interventional Pain Management Physicians Pa
LBN: Interventional Pain Management Physicians Pa
Interventional Pain Management Physicians Pa is an health care organization with primary practice located at 110 Stone Oak Loop Suite 103, San Antonio TX 78258-3511. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Interventional Pain Management Physicians Pa can be contacted via phone (210) 268-0129, or through Longoria, Leslie via phone (210) 268-0129.
Contact Information
Primary practice address
110 Stone Oak Loop Suite 103
San Antonio TX 78258-3511
Phone: (210) 268-0129
Fax: (210) 497-8333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | J5738 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1124247119 |
|---|---|
| LBN Legal business name | Interventional Pain Management Physicians Pa |
| DBA Doing business as | |
| Authorized official | Longoria, Leslie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Apr 1st, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124247119 | NPPES |
| Texas | MEDICAID | 080538401 |
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