MEDICARE: SPINE CARE & PAIN MANAGEMENT OF SAN ANTONIO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1114375482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPINE CARE & PAIN MANAGEMENT OF SAN ANTONIO LLC

Provider Business Mailing Address
First Line	:	19141 STONE OAK PKWY STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3367
Country	:	US
Telephone Number	:	210-545-0087
Fax Number	:	210-545-3455

Provider Business Practice Location Address
First Line	:	110 STONE OAK LOOP
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3510
Country	:	US
Telephone Number	:	210-545-0087
Fax Number	:	210-545-3455

Authorized Official
Title or Position	:	OWNER
Name	:	DR. URFAN A DAR
Credential	:	M.D
Telephone Number	:	210-545-0087

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	12/10/2025

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