Organization
SAN ANTONIO PHYSICAL MEDICINE AND REHABILITATION CLINICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJUSHA GUNUGANTI MD (PRESIDENT)
(210) 366-9906
Entity
Organization
Contact information
Practice address
20770 US HIGHWAY 281 N, #108-492, SAN ANTONIO, TX 78258-7519
(210) 366-9906
(210) 297-0731
Mailing address
20770 US HIGHWAY 281 N, #108-492, SAN ANTONIO, TX 78258-7519
(210) 366-9906
(210) 297-0731
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M2966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040TB
BCBS OF TX
TX
Enumeration date
05/07/2009
Last updated
06/15/2010
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