Provider Demographics
NPI:1336594795
Name:SYNAPTIC RESOURCES GULF STATES LLC
Entity Type:Organization
Organization Name:SYNAPTIC RESOURCES GULF STATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-743-5552
Mailing Address - Street 1:PO BOX 59001
Mailing Address - Street 2:DEPT 4010
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74159-9001
Mailing Address - Country:US
Mailing Address - Phone:844-743-5552
Mailing Address - Fax:877-688-8872
Practice Address - Street 1:650 POYDAS ST
Practice Address - Street 2:STE 1400
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130
Practice Address - Country:US
Practice Address - Phone:844-743-5552
Practice Address - Fax:877-688-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty