Organization
SYNERGY ORTHOPEDIC ASSISTING, LLC
Active
Other names
Val Lopez
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTIN VIDAL LOPEZ CSFA (OWNER/PRESIDENT)
(210) 872-0449
Entity
Organization
Contact information
Practice address
1822 W BRAKER LN # 81603, AUSTIN, TX 78758-3606
(512) 973-9222
(512) 777-4527
Mailing address
PO BOX 81603, AUSTIN, TX 78708-1603
(512) 973-9222
(512) 777-4527
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
112413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112413
CSFA CERTIFICATION
TX
Enumeration date
08/21/2014
Last updated
08/21/2014
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