Organization
SYNERGY INTERNATIONAL HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDER IRENE PUCKETT (PRESIDENT)
(318) 464-7504
Entity
Organization
Contact information
Practice address
5400 E TEXAS ST, BOSSIER CITY, LA 71111-6906
(318) 675-1313
(318) 675-1319
Mailing address
5400 E TEXAS ST, BOSSIER CITY, LA 71111-6906
(318) 675-1313
(318) 675-1319
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059811
—
LA
05
—
1823007
—
LA
05
—
3709163
—
LA
05
—
3902940
—
LA
Enumeration date
12/02/2022
Last updated
02/26/2024
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