Provider Demographics
NPI:1942038203
Name:SYNERGY MEDICAL EQUIPMENT SERVICES LLC
Entity type:Organization
Organization Name:SYNERGY MEDICAL EQUIPMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RUFUS
Authorized Official - Middle Name:O
Authorized Official - Last Name:IYOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-544-3993
Mailing Address - Street 1:13716 CORTES DE PALLAS DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-0829
Mailing Address - Country:US
Mailing Address - Phone:469-544-3993
Mailing Address - Fax:469-248-8392
Practice Address - Street 1:13716 CORTES DE PALLAS DR
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-0829
Practice Address - Country:US
Practice Address - Phone:469-544-3993
Practice Address - Fax:469-248-8392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies