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Interventional Pain Management Physicians PA

Interventional Pain Medicine Physician in San Antonio, TX · enumerated 2007 · authorized official Leslie Longoria, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124247119

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Registry record

Entity type Organization (Type 2)
Legal business name Interventional Pain Management Physicians PA
Practice address 110 Stone Oak Loop, Suite 103, San Antonio, TX, 78258
Phone (210) 268-0129
Fax (210) 497-8333
Enumeration date Apr 25, 2007
Last updated in NPPES Apr 1, 2021

Taxonomy & classification

174400000X Specialist Other Service Providers · License J5738 (TX) Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Leslie Longoria
Title Credentialing Specialist
Phone (210) 268-0129

Other identifiers

Identifier Type State Issuer
080538401 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-04-01. Verify at npiregistry.cms.hhs.gov.
Where is Interventional Pain Management Physicians PA located?
The practice location on file with NPPES is in San Antonio, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-01.