NPIMap

Organization Active NPI

Premier Pain Consultants, PA

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
National Provider Identifier
1023307402
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
L7996 Issued in TX
Legal business name
PREMIER PAIN CONSULTANTS, PA
Practice address
1650 Lockhill Selma Rd
San Antonio, TX 78213-1929
Phone
(210) 616-9400
Fax
(210) 616-9402
NPI assigned
Apr 6, 2011
Organization subpart
Yes
Parent organization
PREMIER PAIN CONSULTANTS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Illiana Galvan-Cobos
Title
Credential Coordinator
Phone
(210) 616-9400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X L7996 TX Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X N3706 TX
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X M2907 TX

Addresses

Primary practice location

1650 Lockhill Selma Rd
San Antonio, TX 78213-1929

Mailing address

PO Box 26
San Antonio, TX 78291
Phone (210) 616-9400

National Provider Directory

National Provider Directory
Tax ID family
Premier Pain Consultants4 organizations share this tax ID, including this one
Part of
Premier Pain Consultants

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1023307402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78291",
            "telephone_number": "210-616-9400",
            "fax_number": "210-616-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LOCKHILL SELMA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131929",
            "telephone_number": "210-616-9400",
            "fax_number": "210-616-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN CONSULTANTS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER PAIN CONSULTANTS, PA",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "GALVAN-COBOS",
        "authorized_official_first_name": "ILLIANA",
        "authorized_official_title_or_position": "CREDENTIAL COORDINATOR",
        "authorized_official_telephone_number": "210-616-9400"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "L7996",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "N3706",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M2907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.