Provider Demographics
NPI:1649290867
Name:SYNERGY HEALTH GROUP
Entity type:Organization
Organization Name:SYNERGY HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-620-7246
Mailing Address - Street 1:4051 LYNDON B JOHNSON FWY
Mailing Address - Street 2:SUITE 190
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5700
Mailing Address - Country:US
Mailing Address - Phone:972-620-7246
Mailing Address - Fax:972-620-0033
Practice Address - Street 1:4051 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE 190
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-5700
Practice Address - Country:US
Practice Address - Phone:972-620-7246
Practice Address - Fax:972-620-0033
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNERGY HEALTH GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-20
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty