Provider Demographics
NPI:1437378221
Name:MJR SYNERGY, LLC
Entity Type:Organization
Organization Name:MJR SYNERGY, LLC
Other - Org Name:FAMILY CONNECTIONS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:YERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-858-2507
Mailing Address - Street 1:1425 W HIGHWAY 290
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-3402
Mailing Address - Country:US
Mailing Address - Phone:512-858-2507
Mailing Address - Fax:512-858-0905
Practice Address - Street 1:1425 W HIGHWAY 290
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-3402
Practice Address - Country:US
Practice Address - Phone:512-858-2507
Practice Address - Fax:512-858-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation