Individual
MAULIK PUROHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR FL 3, SAN ANTONIO, TX 78229-4402
(210) 358-0770
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(214) 403-1943
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
243526
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q6978
TX
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
MD478626
PA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Q6978
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375574601
—
TX
01
—
375574602
CSHCN
TX
Enumeration date
10/24/2008
Last updated
11/13/2024
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