MEDICARE: SYNERGY HEALTH GROUP

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	225100000X	Physical Therapist
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1649290867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY HEALTH GROUP

Provider Business Mailing Address
First Line	:	4051 LYNDON B JOHNSON FWY
Second Line	:	SUITE 190
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75244-5700
Country	:	US
Telephone Number	:	972-620-7246
Fax Number	:	972-620-0033

Provider Business Practice Location Address
First Line	:	4051 LYNDON B JOHNSON FWY
Second Line	:	SUITE 190
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75244-5700
Country	:	US
Telephone Number	:	972-620-7246
Fax Number	:	972-620-0033

Authorized Official
Title or Position	:	OPERATING PARTNER
Name	:	SUNJAY WAGLE
Credential	:	D.C.
Telephone Number	:	972-620-7246

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/24/2007

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Directions to “SYNERGY HEALTH GROUP ” Practice Location

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