Provider Demographics
NPI:1912146291
Name:HEALTHSYNC SPECIALITY CARE
Entity Type:Organization
Organization Name:HEALTHSYNC SPECIALITY CARE
Other - Org Name:HEALTHSYNC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-436-0351
Mailing Address - Street 1:1331 W GRAND PKWY N
Mailing Address - Street 2:STE 145
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2710
Mailing Address - Country:US
Mailing Address - Phone:832-436-0351
Mailing Address - Fax:
Practice Address - Street 1:1331 W GRAND PKWY N
Practice Address - Street 2:STE 145
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2710
Practice Address - Country:US
Practice Address - Phone:832-436-0351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201913501Medicaid
TX201913501Medicaid