Integra of the Woodlands Medical Services, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D7531 Issued in TX

Legal business name

INTEGRA OF THE WOODLANDS MEDICAL SERVICES, PLLC

Doing business as

Integra Medical Clinics

Practice address

3074 College Park Dr
Conroe, TX 77384-8002

Phone

(936) 321-5600

Fax

(936) 271-5699

NPI assigned

Feb 18, 2008

Last updated

Jul 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rezik A Saqer, MD

Title

Ceo

Phone

(936) 321-5600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Integra Medical Clinics Doing business as

Practitioners 2

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.

• Ankur Sarkar, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1205869633
  NPD (past)
• Thomas R. Synek, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • The Woodlands, TX
  • NPI 1972769008
  NPD (past)

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310860800000",
    "number": "1649448101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925188",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772925188",
            "telephone_number": "936-321-5600",
            "fax_number": "936-271-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 COLLEGE PARK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848002",
            "telephone_number": "936-321-5600",
            "fax_number": "936-271-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA OF THE WOODLANDS MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2011-07-17",
        "status": "A",
        "authorized_official_last_name": "SAQER",
        "authorized_official_first_name": "REZIK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-321-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D7531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085193-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0A3249",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integra Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Conroe, TX
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• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; 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.