SYNERGENX HEALTH - NORTHWEST SAN ANTONIO LLC (NPI# 1962936468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962936468 |
Entity Type | Organization |
Organization Name | SYNERGENX HEALTH - NORTHWEST SAN ANTONIO LLC |
Practice Address |
11163 W Loop 1604 N Ste 203 San Antonio TX 78254-2266 |
Mailing Address |
16131 N Eldridge Pkwy Ste 100 Tomball TX 77377-9130 |
Practice Telephone | 2109637398 |
Mailing Telephone | 2814298522 |
Mailing Fax Number | 2819705913 |
Enumeration Date | 2017-04-12 |
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 |
11163 W LOOP 1604 N STE 203 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78254-2266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
1083222384 | Deshannon Stamps | Registered Nurse | 8745 Fischer Falls, San Antonio, TX 78254 | 2020-07-22 |
1962041558 | Synergenx Health - Alamo Ranch San Antonio LLC | Clinic/Center | Culebra Commons, Phase II, W Loop 1604 N and Culebra Rd, Suite 204, San Antonio, TX 78254 | 2019-12-30 |
1295227254 | Wendy Dawn Theriot | Counselor | 9046 Herman Hollow, San Antonio, TX 78254 | 2018-06-05 |
1457843666 | Accumed Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6923 W Loop 1604 N, Suite 208, San Antonio, TX 78254 | 2018-06-04 |
1730687971 | Shaenfield Dental Pllc | Dentist | 8110 West Loop 1604 North, Suite 101, San Antonio, TX 78254 | 2018-01-23 |
1942728712 | Amanda Raen Flores | Specialist/Technologist | 9515 Winding Elm, San Antonio, TX 78254 | 2017-08-31 |
1720451925 | Francisca M. Maddefa | Home Health | 9514 Autumn Breeze, San Antonio, TX 78254 | 2015-11-10 |
1912376880 | Alamo Springs Dental, Pllc | Dentist | 11590 Galm Rd, Suite 109, San Antonio, TX 78254 | 2015-09-21 |
1740656255 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 9050 Fm 1560 N, San Antonio, TX 78254 | 2015-08-19 |
Find all providers in zip 78254 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
1962041558 | Synergenx Health - Alamo Ranch San Antonio LLC | Clinic/Center | Culebra Commons, Phase II, W Loop 1604 N and Culebra Rd, Suite 204, San Antonio, TX 78254 | 2019-12-30 |
1013488626 | Campus Bullis Primary Care | Clinic/Center | 6865 Camp Bullis, Suite 201, San Antonio, TX 78256 | 2018-12-07 |
1730665779 | Nutrition for You LLC | Clinic/Center | 1103 Red Rock Rnch, San Antonio, TX 78245-4435 | 2018-07-12 |
1285133983 | Medical Care Innovation, P.C. | Clinic/Center | 110000 Rogers Run, San Antonio, TX 78251 | 2018-02-08 |
1124578018 | Alison Wiesenthal, Md, Pa | Clinic/Center | 333 W Olmos Dr, San Antonio, TX 78212-1959 | 2016-10-04 |
1679925242 | Tenet | Clinic/Center | 8200 Perrin Beitel Rd, San Antonio, TX 78218-1547 | 2016-07-07 |
1841664067 | Centro Medico Familiar Ebenezer | Clinic/Center | 5650 N Foster Rd, San Antonio, TX 78244-1106 | 2015-11-27 |
1700205747 | Primary Wellness Associates, LLC | Clinic/Center | 131 E Terra Alta Dr, San Antonio, TX 78209-2742 | 2014-04-07 |
1033545363 | Vicki J Sparks, Md, PC | Clinic/Center | 114 Southbridge St, Suite D, San Antonio, TX 78216-6264 | 2013-09-18 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78254 |
Please comment or provide details below to improve the information on SYNERGENX HEALTH - NORTHWEST SAN ANTONIO LLC.
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.