Provider Demographics
NPI:1760139307
Name:SYNERGY SURGICALISTS, PLLC
Entity Type:Organization
Organization Name:SYNERGY SURGICALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAND
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCHLEUSENER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-586-0940
Mailing Address - Street 1:12230 WORLD TRADE DR STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-3799
Mailing Address - Country:US
Mailing Address - Phone:858-759-4765
Mailing Address - Fax:
Practice Address - Street 1:1705 JACKSON ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3246
Practice Address - Country:US
Practice Address - Phone:281-341-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty