Healthcare Provider Details
I. General information
NPI: 1538872429
Provider Name (Legal Business Name): SYNERGY MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2023
Last Update Date: 04/24/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9456 STATE HIGHWAY 121 STE 100
FRISCO TX
75035-6067
US
IV. Provider business mailing address
7668 ELDORADO PKWY STE 300
MCKINNEY TX
75070-5753
US
V. Phone/Fax
- Phone: 972-370-5771
- Fax:
- Phone: 214-817-4225
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMEER
SYED
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 832-567-8548