MEDICARE: PREMIER PAIN CONSULTANTS, PLLC

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
2	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558839795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER PAIN CONSULTANTS, PLLC

Provider Business Mailing Address
First Line	:	5522 LONE STAR PKWY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-6719
Country	:	US
Telephone Number	:	210-616-9400
Fax Number	:

Provider Business Practice Location Address
First Line	:	5522 LONE STAR PKWY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-6719
Country	:	US
Telephone Number	:	210-616-9400
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	TINA MARIE BATTEN
Credential	:
Telephone Number	:	210-616-9400

Provider Enumeration Date	:	11/06/2018
Last Update Date	:	11/14/2025

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