# SYNERGY AESTHETICS & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396109138
- **Authorized official:** DR. JEFFREY PRUSKI (PRESIDENT)
- **Authorized official phone:** (936) 661-2584

## Contact information

- **Practice address:** 12501 CANYON FALLS BLVD, SUITE B, WILLIS, TX 77318-5825
- **Practice address phone:** (936) 449-8008
- **Practice address fax:** (936) 449-8007
- **Mailing address:** 12501 CANYON FALLS BLVD, SUITE B, WILLIS, TX 77318-5825
- **Mailing address phone:** (936) 449-8008
- **Mailing address fax:** (936) 449-8007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | K9742 | NULL | Yes |
| 208D00000X | General Practice Physician | K9742 | — | Yes |

## Other

- **Enumeration date:** 04/07/2016
- **Last updated:** 04/07/2016