SYNERGENX HEALTH - KATY LLC (NPI# 1558897496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558897496 |
| Entity Type | Organization |
| Organization Name | SYNERGENX HEALTH - KATY LLC |
| Practice Address |
24124 Cinco Village Center Blvd Ste 100 Katy TX 77494-8395 |
| Mailing Address |
16131 N Eldridge Pkwy Ste 100 Tomball TX 77377-9130 |
| Practice Telephone | 2817649494 |
| Practice Fax Number | 2819705913 |
| Mailing Telephone | 2814298522 |
| Mailing Fax Number | 2819705913 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | WELTON WAYNE WILSON (CEO) |
| Authorized Official Telephone | 2814298522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
24124 CINCO VILLAGE CENTER BLVD STE 100 |
| City | KATY |
| State | TX |
| Zip Code | 77494-8395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816221 | Chet Nathan Knox | Nurse Practitioner | 24124 Cinco Village Center Blvd Ste 100, Katy, TX 77494-8395 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528576378 | Praetorian Medical Group LLC | Clinic/Center | 2900 Commercial Center Blvd Ste 102, Katy, TX 77494-6724 | 2018-01-15 |
| 1841741907 | Raquel M Sagullo, Md, Pllc | Clinic/Center | 9006 S. Fry Road, Suite D, Katy, TX 77494 | 2016-10-24 |
| 1003236324 | Empowered Care of Texas, Inc. | Clinic/Center | 23022 Lanham Dr, Katy, TX 77450-1423 | 2014-04-25 |
| 1174864722 | Daystar Family Medical Clinic, Inc | Clinic/Center | 24603 Lake Path Cir, Katy, TX 77493-2716 | 2013-03-06 |
| 1235382672 | Nimesh Patel M.d., P.a. | Clinic/Center | 702 S Peek Rd, Suite 1, Katy, TX 77450-3183 | 2008-10-29 |
| 1174711501 | Thomas G. Diaz M.d,p.a. | Clinic/Center | 1331 W Grand Pkwy N Ste 345, Katy, TX 77493-2736 | 2007-10-10 |
| 1669006771 | Shruja Patel Mdpa | Clinic/Center | 633 E Fernhurst Dr Ste 802, Katy, TX 77450-1587 | 2020-02-27 |
| 1649825365 | Crescent Clinic Pllc | Clinic/Center | 23211 Red River Dr, Katy, TX 77494-2031 | 2019-08-08 |
| 1508338344 | Access Medical Group | Clinic/Center | 26502 Crimson Bluff Ln, Katy, TX 77494-7655 | 2018-12-18 |
| 1710415286 | Severino Pimentel Md Pa | Clinic/Center | 21304 Provincial Blvd, Katy, TX 77450-7580 | 2017-05-30 |
| Find all providers in KATY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.