Synaptic Waves LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

SYNAPTIC WAVES LLC

Practice address

4491 Long Prairie Rd Ste 550
Flower Mound, TX 75028-1795

Phone

(972) 412-5299

Fax

(469) 453-3374

NPI assigned

Nov 16, 2019

Organization subpart

No

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

Authorized official

Name

Gary Williams

Title

Sole Professional

Phone

(785) 341-2460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1639714306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 CUSTER RD STE 110-154",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358783",
            "telephone_number": "972-412-5299",
            "fax_number": "469-453-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 LONG PRAIRIE RD STE 550",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281795",
            "telephone_number": "972-412-5299",
            "fax_number": "469-453-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPTIC WAVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-16",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SOLE PROFESSIONAL",
        "authorized_official_telephone_number": "785-341-2460"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Neal Swanholm, PH.D
• Erin McRae Swartz
• William Swenson
• Nicole Z Syed, M.D
• Sylvie H Paroski MD PA
• Maryam S Tabatabaei, DMD
• Beth Ann Tackett-Mirabal, RN
• Allison Tallant
• Tambra R Garrett MD PA
• Tamra K. Deuser, M.D., P.a.

• Electrodiagnostic Medicine Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Electrodiagnostic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.