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

Medical Technology Provider, LLC

Organization Electroneurodiagnostic Specialist/Technologist · NPI 1619362357

Medical Technology Provider, LLC is an Electroneurodiagnostic Specialist/Technologist in San Antonio, Texas. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2425 Babcock Rd Ste 102
San Antonio, TX 78229-4898
Phone: (210) 298-6630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1619362357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dmitriy Buyanov — President · (210) 298-6630
NPI enumeratedMarch 31, 2015
Last updated in NPPESMarch 31, 2015
Mailing address2425 Babcock Rd, Ste. 102, San Antonio, TX 78229-4898

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