Syndi Denee Nobles, PA-C

Individual provider Active NPI Physician Assistant · Fulshear, TX

NPI 1629329651 · NPPES record last updated Mar 28, 2018

Key facts

NPI
1629329651
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
7629 Tiki Dr # 1093
Fulshear, TX 77441-1514
Phone
(281) 346-0018
Fax
(281) 346-0913
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130716000577 TX Practitioner - Physician Assistant 2668612656 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Center of Houston PA Past
since Jan 6, 2022
Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDECA
  • Direct secure messaging: snobles@direct.uspi.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

7629 Tiki Dr # 1093
Fulshear, TX 77441-1514

Mailing address

PO Box 4120
Houston, TX 77210-4120
Phone (281) 346-0018

Other providers in Fulshear, TX

All providers in Fulshear, TX · Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.