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General NPI Number Information
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NPI Number | 1699100230
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Entity Type | Organization
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Legal Business Name | SYNTHERAPY CLINIC PLCC
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 8300 BISSONNET ST STE 490
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City | HOUSTON
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State | TX
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Zip | 77074-3997
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Country | US
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Telephone | 281-684-8535
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Fax | 832-834-3792
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Provider Business Mailing Address
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Address Line | PO BOX 1983
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City | LEAGUE CITY
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State | TX
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Zip | 77574-1983
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Country | US
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Telephone | 281-684-8535
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Fax | 832-834-3792
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Authorized Official
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Title or Position | MEDICAL DOCTOR/OWNER
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Name | DR. JANAK A PATEL
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Credential | M.D.
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Telephone | 281-785-5695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | H7204
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | H7204
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License Number State | TX
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