MEDICARE: INJURY SYNC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1306138565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INJURY SYNC, LLC

Provider Business Mailing Address
First Line	:	25511 BUDDE RD
Second Line	:	SUITE 202
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2080
Country	:	US
Telephone Number	:	713-861-0015
Fax Number	:

Provider Business Practice Location Address
First Line	:	25275 BUDDE RD
Second Line	:	SUITE 22
City	:	SPRING
State	:	TX
Zip	:	77380-2285
Country	:	US
Telephone Number	:	281-719-5291
Fax Number	:	281-719-5318

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. BILL LEE VOSS
Credential	:	J.D.
Telephone Number	:	713-861-0015

Provider Enumeration Date	:	05/06/2011
Last Update Date	:	05/06/2011

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