Provider Demographics
NPI:1922429018
Name:SYNERGIZE WELLNESS AND HEALTHCARE INC
Entity Type:Organization
Organization Name:SYNERGIZE WELLNESS AND HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOGGANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-429-7781
Mailing Address - Street 1:4040 AVONDALE AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3050
Mailing Address - Country:US
Mailing Address - Phone:832-429-7781
Mailing Address - Fax:
Practice Address - Street 1:4040 AVONDALE AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3050
Practice Address - Country:US
Practice Address - Phone:832-429-7781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health