# PMPA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699144881
- **Authorized official:** CHRISTNE VIDOURIA DO (OWNER)
- **Authorized official phone:** (210) 767-2258

## Contact information

- **Practice address:** 9502 HUEBNER RD, SUITE 101, SAN ANTONIO, TX 78240-1649
- **Practice address phone:** (210) 767-2258
- **Practice address fax:** (210) 767-2259
- **Mailing address:** 9502 HUEBNER RD, SUITE 101, SAN ANTONIO, TX 78240-1649
- **Mailing address phone:** (210) 767-2258
- **Mailing address fax:** (210) 767-2259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | M1395 | TX | Yes |

## Other

- **Enumeration date:** 09/18/2015
- **Last updated:** 09/18/2015
