MEDICARE: SYNERGY CARE 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	363L00000X	Nurse Practitioner
2	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1386503076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY CARE LLC

Provider Business Mailing Address
First Line	:	18451 DALLAS PKWY STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-5212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6420 DUTCHMANS PKWY STE 390
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3347
Country	:	US
Telephone Number	:	833-425-6868
Fax Number	:	855-217-1930

Authorized Official
Title or Position	:	DIVISION PRESIDENT
Name	:	JUDERAL HALL
Credential	:
Telephone Number	:	800-482-8466

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	05/26/2026

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Directions to “SYNERGY CARE LLC ” Practice Location

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