Organization
PREMIER PAIN CONSULTANTS, PLLC
Active
Other names
Premier Pain Consultants, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY BUYANOV M.D. (PRESIDENT)
(210) 775-3455
Entity
Organization
Contact information
Practice address
2425 BABCOCK RD STE 108, SAN ANTONIO, TX 78229-4899
(210) 775-3455
(210) 775-3455
Mailing address
2425 BABCOCK RD STE 108, SAN ANTONIO, TX 78229-4899
(210) 775-3455
(210) 775-3455
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178257501
—
TX
05
—
178257502
—
TX
01
—
DC9627
MEDICARE RAILROAD PTAN
TX
Enumeration date
07/19/2006
Last updated
12/02/2025
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