SYNERGY AESTHETICS & WELLNESS (NPI# 1396109138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396109138 |
| Entity Type | Organization |
| Organization Name | SYNERGY AESTHETICS & WELLNESS |
| Practice Address |
12501 Canyon Falls Blvd Suite B Willis TX 77318-5825 |
| Practice Telephone | 9364498008 |
| Practice Fax Number | 9364498007 |
| Mailing Telephone | 9364498008 |
| Mailing Fax Number | 9364498007 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | DR. JEFFREY PRUSKI (PRESIDENT) |
| Authorized Official Telephone | 9366612584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | K9742 | Allopathic & Osteopathic Physicians |
| Street Address |
12501 CANYON FALLS BLVD SUITE B |
| City | WILLIS |
| State | TX |
| Zip Code | 77318-5825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578084406 | Pioneer Dentistry of Willis, Pllc | Clinic/Center | 12501 Canyon Falls Blvd, Willis, TX 77318-5825 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435195 | Scott Sadlowski | Pharmacist | 12605 I-45 N, Willis, TX 77318 | 2020-10-21 |
| 1720621246 | Best Urgent Care, Pllc | Clinic/Center | 12717 Ih 45, Suite 300, Willis, TX 77318 | 2019-10-28 |
| 1780163378 | Eastlake Surgical Associates, LLC | Physician Assistant | 9870 Twin Shores Dr, Willis, TX 77318 | 2018-08-14 |
| 1962944330 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 9663 W. Fm 1097, Willis, TX 77318 | 2016-11-16 |
| 1730636416 | Dorothy's Halo Non-emergency Transportation Services | Non-emergency Medical Transport (VAN) | 9700 Fm 1097 Rd West, Apt #1003, Willis, TX 77318 | 2016-09-09 |
| 1952474264 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 12605 I 45 North, Willis, TX 77318 | 2006-11-16 |
| 1841280054 | Ahia No Middle Name Shabaaz | Registered Nurse | 15713 Lakeway Dr, Willis, TX 77318-3181 | 2005-10-27 |
| 1790795607 | Nathan R Denny | Psychologist | 14079 Lakepoint Dr, Willis, TX 77318-3269 | 2006-08-09 |
| 1184163123 | Skyline Senior Services, LLC | In Home Supportive Care | 13287 Hidden Trail Ct, Willis, TX 77318-4282 | 2017-02-22 |
| 1457639536 | Meridex Group LLC | Hospice Care, Community Based | 14450 Longstreet Rd, Suite B, Willis, TX 77318-4602 | 2011-07-24 |
| Find all providers in zip 77318 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1528683810 | Umc El Paso Healthcare Inc | General Practice | 7500 Viscount Blvd Ste 140, El Paso, TX 79925-5692 | 2020-06-11 |
| 1770107542 | Texas Integrative Wellness Pllc | General Practice | 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.