Provider Demographics
NPI:1831871185
Name:SYNERGY PRIMECARE PLLC
Entity type:Organization
Organization Name:SYNERGY PRIMECARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ADAEZE
Authorized Official - Last Name:AMANFO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C, MSN
Authorized Official - Phone:281-752-6233
Mailing Address - Street 1:406 SUMMERSET LANE
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423
Mailing Address - Country:US
Mailing Address - Phone:281-752-6233
Mailing Address - Fax:866-635-1388
Practice Address - Street 1:1331 N GRAND PKWY STE 111
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2711
Practice Address - Country:US
Practice Address - Phone:301-717-9249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty