Provider Demographics
NPI:1467753467
Name:SYNICARE MEDICAL
Entity Type:Organization
Organization Name:SYNICARE MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:832-387-7188
Mailing Address - Street 1:1450 W GRAND PKWY S
Mailing Address - Street 2:SUITE 114
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8286
Mailing Address - Country:US
Mailing Address - Phone:832-387-7188
Mailing Address - Fax:888-397-1240
Practice Address - Street 1:1450 W GRAND PKWY S
Practice Address - Street 2:SUITE 114
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8286
Practice Address - Country:US
Practice Address - Phone:832-387-7188
Practice Address - Fax:888-397-1240
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARDCORE RECORDS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-06
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies