Healthcare Provider Details

I. General information

NPI: 1194227033
Provider Name (Legal Business Name): HEALTHCARE SYNERGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2018
Last Update Date: 04/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 W 15TH ST
PLANO TX
75075-7731
US

IV. Provider business mailing address

3151 W 15TH ST
PLANO TX
75075-7731
US

V. Phone/Fax

Practice location:
  • Phone: 972-370-5771
  • Fax: 972-674-2788
Mailing address:
  • Phone: 972-370-5771
  • Fax: 972-674-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberQ2071
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberQ2071
License Number StateTX

VIII. Authorized Official

Name: DR. SAMEER SYED
Title or Position: PRESIDENT
Credential: MD
Phone: 832-567-8548