Healthcare Provider Details

I. General information

NPI: 1164995924
Provider Name (Legal Business Name): PINNACLE PAIN & ORTHOPEDIC CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 HUEBNER RD STE 290
SAN ANTONIO TX
78240-1598
US

IV. Provider business mailing address

9150 HUEBNER RD STE 290
SAN ANTONIO TX
78240-1598
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-6432
  • Fax: 210-615-3586
Mailing address:
  • Phone: 210-614-6432
  • Fax: 210-615-3586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA DE LOS ANGELES SZYMBLOWSKI
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential:
Phone: 210-614-6432