SYNERGENX HEALTH - VINTAGE PARK LLC NPI 1649703844

NPI Information

  • NPI: 1649703844
  • Provider Name: SYNERGENX HEALTH - VINTAGE PARK LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 45D2134800
  • Address: 130 VINTAGE PARK BLVD
    BUILDING C, SUITE H
    HOUSTON, TX
    ZIP 77070
  • Phone: (281) 970-5900

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NPI Details

SYNERGENX HEALTH - VINTAGE PARK LLC is a primary care clinic center in Houston, TX. SYNERGENX HEALTH - VINTAGE PARK LLC NPI is 1649703844. The provider is registered as an organization entity type.

The provider's business location address is:

130 VINTAGE PARK BLVD
BUILDING C, SUITE H
HOUSTON, TX
ZIP 77070-999
Phone: (281) 970-5900
Fax: (281) 970-5913

The provider's authorized official is Welton Wayne Wilson .
The authorized official title is Ceo and has the following contact phone number (281) 429-8522.

The CLIA number assigned to this NPI record is 45D2134800 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 11/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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