SYNTHERAPY CLINIC PLCC NPI 1699100230

NPI Information

  • NPI: 1699100230
  • Provider Name: SYNTHERAPY CLINIC PLCC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3455 STAGG DR STE 101
    BEAUMONT, TX
    ZIP 77701
  • Phone: (281) 785-5695

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NPI Details

SYNTHERAPY CLINIC PLCC is a specialist in Beaumont, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SYNTHERAPY CLINIC PLCC NPI is 1699100230. The provider is registered as an organization entity type.

The provider's business location address is:

3455 STAGG DR STE 101
BEAUMONT, TX
ZIP 77701-520
Phone: (281) 785-5695
Fax: (281) 947-0649

The provider's authorized official is Janak A Patel .
The authorized official title is Medical Doctor/owner and has the following contact phone number (281) 785-5695.

The enumeration date for this NPI number is 9/12/2013 and was last updated on 11/3/2014.

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
1261QM2500XClinic/CenterMedical SpecialtyH7204TEXASNo
2174400000XSpecialistH7204TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E43891MEDICARE UPIN

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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