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. (OWNER)
(210) 616-9400
Entity
Organization
Contact information
Practice address
11212 STATE HIGHWAY 151 STE 360, SAN ANTONIO, TX 78251-4504
(210) 616-9400
(210) 616-9402
Mailing address
2425 BABCOCK RD STE 108, SAN ANTONIO, TX 78229-4899
(210) 616-9400
(210) 616-9402
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/07/2013
Last updated
01/13/2014
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