Provider Demographics
NPI:1710408265
Name:SYNAPTOVEDA PA
Entity Type:Organization
Organization Name:SYNAPTOVEDA PA
Other - Org Name:NEUROMUSCULAR AND EMG SPECIALISTS OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-962-5557
Mailing Address - Street 1:4402 VANCE JACKSON RD STE 146
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5333
Mailing Address - Country:US
Mailing Address - Phone:210-962-5557
Mailing Address - Fax:210-962-5558
Practice Address - Street 1:4402 VANCE JACKSON RD STE 146
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5333
Practice Address - Country:US
Practice Address - Phone:210-962-5557
Practice Address - Fax:210-962-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty