Individual
MANJUSHA GUNUGANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
(210) 618-6623
Mailing address
20770 HWY 281 NO.,, 108-492, SAN ANTONIO, TX 78258-7500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M2966
TX
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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