Organization
SYNERGY ORTHOTICS AND PROSTHESTICS 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
1220 N. COIT RD, 102, PLANO, TX 75075-7757
(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
332B00000X
Durable Medical Equipment & Medical Supplies
101230
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
101230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011068601
—
TX
Enumeration date
09/21/2005
Last updated
07/22/2008
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