Interventional Pain Management Physicians PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA

Practice address

110 Stone Oak Loop
Suite 103
San Antonio, TX 78258-3511

Phone

(210) 268-0129

Fax

(210) 497-8333

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Leslie Longoria

Title

Credentialing Specialist

Phone

(210) 268-0129

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Steven P Eby, CRNA

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
  • NPI 1508857988
  NPD (past)
• Gilbert Wallace Wolfe, CRNA

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
  • NPI 1063471191
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1124247119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583367",
            "telephone_number": "210-268-0129",
            "fax_number": "210-314-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STONE OAK LOOP",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583511",
            "telephone_number": "210-268-0129",
            "fax_number": "210-497-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "LONGORIA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "210-268-0129"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5738",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080538401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Internal Insights Therapy PLLC
• Internal Medicine Telehealth Solutions, PLLC
• International Network of Creative Seniors and Affiliates
• International Neuro Psychiatric Associates
• Interventional Mind PLLC
• Interventional Partners
• Interventional Partners LLC
• Interventional Surgical Care, LP
• Misael Intiveros, PTA
• Into the Roots Therapy, PLLC

• Interventional Pain Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.