Premier Interventional Pain Management, P.L.L.C
Organization Active NPI Interventional Pain Medicine Physician · San Antonio, TX
NPI 1982178794 · NPPES record last updated Jan 15, 2019
Key facts
- NPI
- 1982178794
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- PREMIER INTERVENTIONAL PAIN MANAGEMENT, P.L.L.C
- Practice address
- 8235 S New Braunfels Ste 211
San Antonio, TX 78235-4439 - Phone
- (210) 634-1232
- Fax
- (210) 634-1243
- NPI assigned
- Jan 15, 2019
- Organization subpart
- No
Authorized official
- Name
- Abdul Ahad Hayee, MD
- Title
- Co-Owner
- Phone
- (972) 350-0225
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 1
Practitioners 65
-
Abdul Ahad Hayee, MD
-
Rosalino Evier Lara, DPT
-
Rahul Mishra, D.O.
-
Jon T Vu, DO
-
Isaac A. Zoch, MD
-
Asad Hassan Khan, D.O
-
Bibin Abraham, DNP, CRNA
-
Rebecca Adelagun, M.D.
-
Pablo R Albores, CRNA
-
Diogenes Anthony Arrieta, CNRA
-
Iwona Elzbieta Beltowski, APRN, AGPCNP-BC
-
Brandon Raymond Brock, CRNA
-
Kristine C Buth, FNP-C
-
Ashley R Childers, CRNA
-
Jeffrey Patrick Conroy, CRNA
-
Edmond Jacque Decoux IV, CRNA
-
Timothy John Fahey, DC, FNP
-
Maeve Garcia, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211025002004 | TX | DME Supplier - Physician - Interventional Pain Management | 7012043961 | Practice locations: San Antonio, TX |
National Provider Directory
- Tax ID family
- Premier Interventional Pain
Locations
13080 Dallas Pkwy
Ste 310
Frisco, TX 75033
Phone (469) 269-1060
240 Adriatic Pkwy
Ste 300
McKinney, TX 75072
Phone (972) 350-0225
2118 E State Highway 114
Southlake, TX 76092
Phone (817) 488-0410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician |
208VP0014X | Yes |
Addresses
Primary practice location
8235 S New Braunfels Ste 211
San Antonio, TX 78235-4439
Mailing address
2321 Olympia Dr Ste 100a
Flower Mound, TX 75028-1856
Other providers in San Antonio, TX
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- Premier Pain Consultants, PA
All providers in San Antonio, TX · Interventional Pain Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.