Organization
SYNERGENX HEALTH - NORTHWEST SAN ANTONIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WELTON WAYNE WILSON (CEO)
(281) 429-8522
Entity
Organization
Contact information
Practice address
11163 W LOOP 1604 N STE 203, SAN ANTONIO, TX 78254-2266
(210) 963-7398
Mailing address
16131 N ELDRIDGE PKWY STE 100, TOMBALL, TX 77377-9130
(281) 429-8522
(281) 970-5913
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
11/02/2020
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