Organization Active NPI

Synergenx Health - New Braunfels San Antonio LLC

  • Primary Care Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1821611906
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SYNERGENX HEALTH - NEW BRAUNFELS SAN ANTONIO LLC
Practice address
717 N Business Ih 35 Ste 130
New Braunfels, TX 78130-7852
Phone
(281) 429-8525
NPI assigned
May 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Welton Wilson
Title
Manager
Phone
(281) 429-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

717 N Business Ih 35 Ste 130
New Braunfels, TX 78130-7852

Mailing address

16131 N Eldridge Pkwy Ste 100
Tomball, TX 77377-9130
Phone (281) 429-8522

National Provider Directory

National Provider Directory

Locations

717 N Business Ih 35
Ste 130
New Braunfels, TX 78130
Phone (281) 429-8525

177 W Mill St
Ste 630
New Braunfels, TX 78130

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1821611906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 N ELDRIDGE PKWY STE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773779130",
            "telephone_number": "281-429-8522",
            "fax_number": "281-970-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BUSINESS IH 35 STE 130",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307852",
            "telephone_number": "281-429-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGENX HEALTH - NEW BRAUNFELS SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-11-09",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WELTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-429-8522"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.