Organization
QUANTUM PAIN AND ORTHOPEDIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM K LI MD (OWNER)
(210) 817-6010
Entity
Organization
Contact information
Practice address
8626 TESORO DR STE 112, SAN ANTONIO, TX 78217-6217
(210) 817-6010
(210) 817-6011
Mailing address
8626 TESORO DR STE 112, SAN ANTONIO, TX 78217-6217
(210) 817-6010
(210) 817-6011
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
R4868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336403864
ALL OTHER INSURANCE
TX
Enumeration date
04/16/2018
Last updated
06/16/2018
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