Organization
SYNERGY ORTHOTICS & PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANN MIZE CPO (CHIEF OPERATING OFFICER)
(214) 239-2970
Entity
Organization
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 230, DALLAS, TX 75231-5009
(214) 239-2970
(214) 239-2974
Mailing address
9301 N CENTRAL EXPY, SUITE 230, DALLAS, TX 75231-5009
(214) 239-2970
(214) 239-2974
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
101197
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
101197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011068601
—
TX
01
—
101197
TEXAS O&P FACILITY LICENS
TX
Enumeration date
05/19/2006
Last updated
07/22/2008
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