Organization
SYNERGY ORTHOTICS & PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANN MIZE CPO (CHIEF OPERATING OFFICER)
(972) 769-8344
Entity
Organization
Contact information
Practice address
6020 W PARKER RD, 200, PLANO, TX 75093-8171
(972) 769-8344
(972) 769-0644
Mailing address
PO BOX 260756, PLANO, TX 75026-0756
(972) 769-8344
(972) 769-0644
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101179
TEXAS BOARD LICENSE NUMBE
TX
Enumeration date
09/21/2005
Last updated
08/22/2020
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