Provider Demographics
NPI:1619382454
Name:CORE SYNERGY SOLUTIONS PLLC
Entity Type:Organization
Organization Name:CORE SYNERGY SOLUTIONS PLLC
Other - Org Name:FUNCTIONAL HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-955-0383
Mailing Address - Street 1:PO BOX 5476
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0214
Mailing Address - Country:US
Mailing Address - Phone:972-955-0383
Mailing Address - Fax:
Practice Address - Street 1:3550 PARKWOOD BLVD
Practice Address - Street 2:BULIDING G; SUITE 706
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1903
Practice Address - Country:US
Practice Address - Phone:972-955-0383
Practice Address - Fax:972-668-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8262208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty