NPIMap

Organization Active NPI

Spine Care & Pain Management of San Antonio LLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1205656089
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SPINE CARE & PAIN MANAGEMENT OF SAN ANTONIO LLC
Practice address
102 Palo Alto Rd Ste 200
San Antonio, TX 78211-3879
Phone
(210) 545-0087
Fax
(210) 545-3455
NPI assigned
Oct 15, 2024
Organization subpart
Yes
Parent organization
SPINE CARE & PAIN MANAGEMENT OF SAN ANTOINO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Stella C Bailey
Title
Billing
Phone
(726) 203-4561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

102 Palo Alto Rd Ste 200
San Antonio, TX 78211-3879

Mailing address

20079 Stone Oak Pkwy Ste 1245
San Antonio, TX 78258-6957
Phone (726) 203-4561

National Provider Directory

National Provider Directory
Tax ID family
Spine Care Pain Management2 organizations share this tax ID, including this one
Part of
Spine Care Pain Management

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

94 Briggs St
Ste 220
San Antonio, TX 78224

102 Palo Alto Rd
Ste 200
San Antonio, TX 78211
Phone (210) 403-0765

Practitioners & affiliated clinicians

Practitioners 9

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": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1205656089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586957",
            "telephone_number": "726-203-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113879",
            "telephone_number": "210-545-0087",
            "fax_number": "210-545-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE & PAIN MANAGEMENT OF SAN ANTONIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE CARE & PAIN MANAGEMENT OF SAN ANTOINO LLC",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "726-203-4561"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 15, 2024; 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.