Healthcare Provider Details

I. General information

NPI: 1750652947
Provider Name (Legal Business Name): THOMAS SYNEK MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 12/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 RAYFORD RD SUITE 300
SPRING TX
77386
US

IV. Provider business mailing address

1100 RAYFORD RD SUITE 300
SPRING TX
77386
US

V. Phone/Fax

Practice location:
  • Phone: 281-419-5993
  • Fax: 281-292-6248
Mailing address:
  • Phone: 281-419-5993
  • Fax: 281-292-6248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberN6054
License Number StateTX

VIII. Authorized Official

Name: THOMAS ROBERT SYNEK
Title or Position: PROVIDER
Credential: M.D.
Phone: 281-419-5993