Hyperheal Advanced Wound Clinic Pllc (NPI# 1588266605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1588266605 |
| Entity Type | Organization |
| Organization Name | HYPERHEAL ADVANCED WOUND CLINIC PLLC |
| Practice Address |
Hyperheal Advanced Wound Clinic Pllc 13423 Blanco Road # 767 San Antonio TX 78216 |
| Practice Telephone | 2108238830 |
| Mailing Address |
Hyperheal Advanced Wound Clinic Pllc 13423 Blanco Road # 767 San Antonio TX 78216 |
| Mailing Telephone | 2108238830 |
| Authorized Official Name | Dr. Manjulatha Badam (PHYSICIAN) |
| Authorized Official Telephone | 2108238830 |
| Authorized Official Credential | MD, CWSP |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Yes | 261QM2500X | Clinic/Center · Medical Specialty | Ambulatory Health Care Facilities | ||
| No | 261QP2300X | Clinic/Center · Primary Care | Ambulatory Health Care Facilities |
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1336607977 | Tina Batten | Clinic/Center | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-03-02 |
| 1891250742 | Jesse Saucedo | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-02-05 |
| 1679062251 | F Silva Md Pllc | Clinic/Center | 14615 San Pedro Ave Ste 105, San Antonio, TX 78232-4364 | 2018-05-09 |
| 1710408265 | Synaptoveda Pa | Clinic/Center | 4402 Vance Jackson Rd Ste 214, San Antonio, TX 78230-5334 | 2017-07-05 |
| Find all providers in SAN ANTONIO | ||||
| Street Address |
HYPERHEAL ADVANCED WOUND CLINIC PLLC 13423 BLANCO ROAD # 767 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavior Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on Hyperheal Advanced Wound Clinic Pllc.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.