OrganizationActive
Spine Care & Pain Management of San Antonio LLC
NPI 1205656089 · Interventional Pain Medicine Physician · San Antonio, TX
Provider details
- NPI number
- 1205656089
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spine Care & Pain Management of San Antoino LLC
- Organization subpart
- Yes
- Authorized official
- Stella Bailey, Billing(726) 203-4561
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
102 Palo Alto Rd Ste 200
San Antonio, TX 78211-3879
Phone: (210) 545-0087
Fax: (210) 545-3455
Street-level locationGet directions
Mailing address
20079 Stone Oak Pkwy Ste 1245
San Antonio, TX 78258-6957
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.