Provider Demographics
NPI:1982178794
Name:PREMIER INTERVENTIONAL PAIN MANAGEMENT, P.L.L.C
Entity Type:Organization
Organization Name:PREMIER INTERVENTIONAL PAIN MANAGEMENT, P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL AHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-350-0225
Mailing Address - Street 1:2321 OLYMPIA DR STE 100A
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1856
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8235 S NEW BRAUNFELS STE 211
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78235-4439
Practice Address - Country:US
Practice Address - Phone:210-634-1232
Practice Address - Fax:210-634-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty