Organization
SYNERGIST MONITORING TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WAVRA (MEMBER)
(972) 412-5299
Entity
Organization
Contact information
Practice address
5001 ROWLETT RD STE 300, ROWLETT, TX 75088
(972) 412-5299
Mailing address
PO BOX 5487, PORTLAND, OR 97228-5487
(833) 613-9084
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
08/28/2018
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