Healthcare Provider Details

I. General information

NPI: 1437027224
Provider Name (Legal Business Name): NAGA SOWJANYA VALLURUPALLI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9514 CONSOLE DR
SAN ANTONIO TX
78229-2069
US

IV. Provider business mailing address

2823 STOKELY HL
SAN ANTONIO TX
78258-4645
US

V. Phone/Fax

Practice location:
  • Phone: 210-448-9111
  • Fax: 210-308-9595
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1302413
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: