MEDICAL TECHNOLOGY PROVIDER, LLC
NPI 1619362357
Specialist/Technologist, Other - Electroneurodiagnostic in San Antonio, TX

Active since March 31, 2015
2425 BABCOCK RD, STE. 102, SAN ANTONIO, TX 78229(210) 298-6630 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medical Technology Provider, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL TECHNOLOGY PROVIDER, LLC (NPI 1619362357) is a healthcare organization registered as an electroneurodiagnostic in San Antonio, Texas and active in the NPI registry since March 2015. The organization lists Dmitriy Buyanov, President, as its authorized official.

NPPES Registry Identity

NPI1619362357
Entity TypeOrganization
Primary Taxonomy246ZE0600X
Legal Business NameMEDICAL TECHNOLOGY PROVIDER, LLC
Location Address2425 BABCOCK RD, STE. 102San Antonio, TX 78229-4898
Mailing Address2425 Babcock Rd, Ste. 102San Antonio, TX 78229-4898 · (210) 298-6630
Organization SubpartNo
Authorized OfficialDmitriy BuyanovPresident · (210) 298-6630
Enumeration DateMarch 31, 2015
NPI 1619362357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
2425 BABCOCK RD, San Antonio, TX 78229

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
2425 BABCOCK RD, SUITE 111
SAN ANTONIO, TX 78229
Pharmacy (Community/Retail Pharmacy)
2425 BABCOCK RD, SUITE 108A
SAN ANTONIO, TX 78229
Clinic/Center (Ambulatory Surgical)
2425 BABCOCK RD
SAN ANTONIO, TX 78229
Anesthesiology
2425 BABCOCK RD, SUITE 108
SAN ANTONIO, TX 78229
Clinic/Center (Ambulatory Surgical)
2425 BABCOCK RD, SUITE #106
SAN ANTONIO, TX 78229
Specialist
2425 BABCOCK RD, STE. 111
SAN ANTONIO, TX 78229
Physical Medicine & Rehabilitation
2425 BABCOCK RD, SUITE 111
SAN ANTONIO, TX 78229
Specialist
2425 BABCOCK RD, SUITE 111
SAN ANTONIO, TX 78229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Technology Provider, LLC's NPI number?

The NPI number for Medical Technology Provider, LLC is 1619362357. It was assigned to this organization in the NPPES registry on March 31, 2015.

Where is Medical Technology Provider, LLC located?

Medical Technology Provider, LLC is located at 2425 Babcock Rd Ste. 102, San Antonio, TX 78229. The listed phone number is (210) 298-6630.

What is Medical Technology Provider, LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Medical Technology Provider, LLC was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.