Organization
PAIN & NEUROMUSCULAR CLINIC OF TEXAS , P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MICHAEL THEAGENE M.D. (PRESIDENT)
(210) 826-2311
Entity
Organization
Contact information
Practice address
6100 BANDERA RD, 710, SAN ANTONIO, TX 78238-1652
(210) 826-2311
(210) 826-2641
Mailing address
PO BOX 29097, SAN ANTONIO, TX 78229-0097
(210) 826-2311
(210) 826-2641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074DJ
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/17/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us