| NPI | 1538599360 |
|---|---|
| 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 | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2014-01-13 |