Organization
VAYU ADVANCED WOUND CLINIC AND HYPERBARICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJULATHA BADAM MD, CWSP, UHM (PHYSICIAN)
(210) 651-1112
Entity
Organization
Contact information
Practice address
8666 HUEBNER RD STE 220, SAN ANTONIO, TX 78240-1837
(210) 651-1112
(855) 479-2049
Mailing address
13423 BLANCO RD # 767, SAN ANTONIO, TX 78216-2187
(210) 651-1112
(855) 479-2049
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417013368
NPI
TX
Enumeration date
11/13/2020
Last updated
10/19/2021
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