| NPI | 1336584093 |
|---|---|
| Former Legal Business Name | PREMIER PAIN CONSULTANTS, P.A. |
| Entity Type | Organization |
| Authorized Contact | DMITRIY BUYANOV Owner 210-616-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2014-01-13 |