Provider Demographics
NPI:1639681737
Name:NORTEX INTEGRATED MEDICINE PLLC - SYNERGY SERIES
Entity Type:Organization
Organization Name:NORTEX INTEGRATED MEDICINE PLLC - SYNERGY SERIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-775-5857
Mailing Address - Street 1:1060 S PRESTON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-3895
Mailing Address - Country:US
Mailing Address - Phone:972-382-4466
Mailing Address - Fax:972-382-4477
Practice Address - Street 1:1060 S PRESTON RD STE 104
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3895
Practice Address - Country:US
Practice Address - Phone:972-382-4466
Practice Address - Fax:972-382-4477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty