Provider Demographics
NPI:1437308509
Name:SAN ANTONIO PAIN CONSULTANTS PA
Entity Type:Organization
Organization Name:SAN ANTONIO PAIN CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-268-8270
Mailing Address - Street 1:PO BOX 592239
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-0161
Mailing Address - Country:US
Mailing Address - Phone:210-963-5100
Mailing Address - Fax:210-963-7032
Practice Address - Street 1:3903 WISEMAN BLVD STE 117
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4402
Practice Address - Country:US
Practice Address - Phone:210-861-5461
Practice Address - Fax:210-773-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3802173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicare UPIN