Organization Active NPI

Synergenx Health - Webster LLC

  • Primary Care Clinic/Center
  • Webster, TX
National Provider Identifier
1194323568
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SYNERGENX HEALTH - WEBSTER LLC
Practice address
19325 Gulf Fwy Ste 120
Webster, TX 77598-2812
Phone
(254) 458-8700
NPI assigned
Oct 16, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wayne Wayne Wilson
Title
Manager
Phone
(713) 204-3818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

19325 Gulf Fwy Ste 120
Webster, TX 77598-2812

Mailing address

16131 N Eldridge Pkwy Ste 100
Tomball, TX 77377-9130
Phone (713) 204-3818

National Provider Directory

National Provider Directory

Locations

19325 Gulf Fwy
Ste 120
Webster, TX 77598
Phone (254) 458-8700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1194323568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 N ELDRIDGE PKWY STE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773779130",
            "telephone_number": "713-204-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19325 GULF FWY STE 120",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982812",
            "telephone_number": "254-458-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGENX HEALTH - WEBSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-204-3818"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.