Synerstic Medicine

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

P105 Issued in TX

Legal business name

SYNERSTIC MEDICINE

Practice address

1001 Palm Desert Dr
Garland, TX 75044-5011

Phone

(214) 520-1006

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Ann Robinson

Title

Admininstrator

Phone

(214) 520-1006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1275875874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PALM DESERT DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PALM DESERT DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445011",
            "telephone_number": "214-520-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERSTIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMININSTRATOR",
        "authorized_official_telephone_number": "214-520-1006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "P105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Garland, TX
• Providers in Garland, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.