Organization
PREMIER PAIN CONSULTANTS, PA
Active
Parent organization
PREMIER PAIN CONSULTANTS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER PAIN CONSULTANTS, PA
Authorized official
MR. YURII D BORSHCH M.D. (GENERAL PARTNER)
(210) 616-9400
Entity
Organization
Contact information
Practice address
18626 HARDY OAK, SUITE 215, SAN ANTONIO, TX 78258
(210) 616-9400
(210) 616-9404
Mailing address
PO BOX 26, SAN ANTONIO, TX 78291
(210) 616-9400
(210) 616-9402
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M2907
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
N3706
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L7996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178257501
—
TX
Enumeration date
12/21/2010
Last updated
12/21/2010
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