Organization
SHYAM PURSWANI, M.D. P.A.
Active
Other names
South Texas Pain Insitute
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM PURSWANI M.D. (OWNER)
(210) 590-9080
Entity
Organization
Contact information
Practice address
2455 NE LOOP 410, SUITE 101, SAN ANTONIO, TX 78217-5649
(210) 590-9080
(210) 590-9087
Mailing address
PO BOX 2458, SAN ANTONIO, TX 78298-2458
(210) 590-9080
(210) 590-9087
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
K1005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1703704-01
—
TX
05
—
1703704-03
—
TX
Enumeration date
02/28/2008
Last updated
09/10/2009
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