Provider Demographics
NPI:1164684783
Name:SYNERGY WELLNESS CHIROPRACTIC
Entity Type:Organization
Organization Name:SYNERGY WELLNESS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-233-2346
Mailing Address - Street 1:16990 DALLAS PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1903
Mailing Address - Country:US
Mailing Address - Phone:972-233-2346
Mailing Address - Fax:972-733-1179
Practice Address - Street 1:16990 DALLAS PKWY STE 106
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1903
Practice Address - Country:US
Practice Address - Phone:972-233-2346
Practice Address - Fax:972-733-1179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty