Provider Demographics
NPI:1487953196
Name:SYNERCO ENERGY CONSULTING SERVICES INC
Entity type:Organization
Organization Name:SYNERCO ENERGY CONSULTING SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCIO
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:281-229-0263
Mailing Address - Street 1:337 SHERI LN
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-3269
Mailing Address - Country:US
Mailing Address - Phone:281-229-0263
Mailing Address - Fax:979-798-5153
Practice Address - Street 1:337 SHERI LN
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-3269
Practice Address - Country:US
Practice Address - Phone:281-229-0263
Practice Address - Fax:979-798-5153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty