Individual
SHYAM PURSWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2455 NE LOOP 410 STE 101, SAN ANTONIO, TX 78217-5650
(210) 590-9080
(210) 590-9087
Mailing address
2425 BABCOCK RD, STE 108, SAN ANTONIO, TX 78229
(210) 616-9400
(210) 616-9402
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
K1005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297020-02
—
TX
01
—
TXB153365
WELLMED NETWORKS INC
—
Enumeration date
08/04/2006
Last updated
07/10/2017
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