Organization Name: | SYNERGY REHAB CENTER LP |
NPI Number: | 1043305162 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GANESH N RAJAMANI (DIRECTOR) |
Mailing Address: | 561 Medical Center Blvd Suite - B Webster |
State: | TX US |
Postal Code: | 775984240 |
Phone Number: | 2815549885 |
Fax Number: | 2815549887 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | 1083491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |