Organization Active NPI

Symedic PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Sugar Land, TX
National Provider Identifier
1861856114
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
P1954 Issued in TX
Legal business name
SYMEDIC PLLC
Practice address
2245 Texas Dr
Suite 300
Sugar Land, TX 77479-1679
Phone
(281) 566-2641
Fax
(844) 308-1082
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Olumuyiwa Abdul, MD
Title
Ceo/President
Phone
(281) 566-2641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X P1954 TX Primary

Addresses

Primary practice location

2245 Texas Dr
Suite 300
Sugar Land, TX 77479-1679

Mailing address

2245 Texas Dr
Suite 300
Sugar Land, TX 77479-1679
Phone (281) 566-2641

Other identifiers 1

IdentifierTypeStateIssuer
P1954OtherTXTEXAS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1861856114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 TEXAS DR",
            "address_2": "SUITE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791679",
            "telephone_number": "281-566-2641",
            "fax_number": "844-308-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 TEXAS DR",
            "address_2": "SUITE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791679",
            "telephone_number": "281-566-2641",
            "fax_number": "844-308-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMEDIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "ABDUL",
        "authorized_official_first_name": "OLUMUYIWA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "281-566-2641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "TX",
            "license": "P1954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "P1954",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.