Med Pro Synergy, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

MED PRO SYNERGY, LLC

Practice address

4617 50TH St Ste 5
Lubbock, TX 79414-3507

Phone

(806) 599-6299

NPI assigned

Nov 27, 2024

Last updated

Nov 27, 2024By 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

Brandon J Sue, PA-CNPI 1306120522

Title

Ceo

Phone

(806) 599-6299

Specialties & licenses 1

Addresses

Locations

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.

• Brandon J Sue, PA-C

  • Physician Assistant
  • Lubbock, TX
  • NPI 1306120522
  NPD Authorized official
• Kysen Dane Sue, CPT

  • Phlebotomy Technician
  • Lubbock, TX
  • NPI 1891511432
  NPD

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1780400325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 82ND ST, STE 145 / PMB 108",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243646",
            "telephone_number": "806-599-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 50TH ST STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143507",
            "telephone_number": "806-599-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PRO SYNERGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "SUE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-599-6299",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann McReynolds, FNP
• Catrina Jean Mead, FNP
• Joshua Aaron Meador, DDS
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• Steven Cameran Mecham, DO
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• Med-Trans Corporation
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• Point of Service in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.