Organization
PAIN SPECIALTY CONSULTANTS, PA
Active
Other names
Pain Specialty Consultants, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAFULLA C. SINGH M.D. (DOCTOR)
(210) 527-1166
Entity
Organization
Contact information
Practice address
1200 BROOKLYN AVE STE 140, SAN ANTONIO, TX 78212-4817
(210) 527-1166
(210) 527-1163
Mailing address
PO BOX 12952, SAN ANTONIO, TX 78212-0952
(210) 527-1166
(210) 527-1163
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J9353
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
J9353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027BR
BLUECROSS BLUESHIELD
TX
05
—
0802886-01
—
TX
Enumeration date
11/02/2006
Last updated
06/29/2010
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