Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Interventional Pain Management Physicians PA

Organization Specialist · NPI 1124247119

Interventional Pain Management Physicians PA is a Specialist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Stone Oak Loop Ste 103
San Antonio, TX 78258-3511
Phone: (210) 268-0129
Fax: (210) 497-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Specialist Taxonomy 174400000X · Licence J5738 (TX)

Record details

NPI number1124247119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Longoria — Credentialing Specialist · (210) 268-0129
NPI enumeratedApril 25, 2007
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address19141 Stone Oak Pkwy Ste 104, San Antonio, TX 78258-3367

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