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Individual

DMITRIY BUYANOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
L7996
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L7996
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166300703
TX
Enumeration date
07/19/2006
Last updated
11/14/2025
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