Organization Name: | MJR SYNERGY, LLC |
NPI Number: | 1437378221 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA YERGER (MEMBER) |
Mailing Address: | 1425 W Highway 290 Dripping Springs |
State: | TX US |
Postal Code: | 786203402 |
Phone Number: | 5128582507 |
Fax Number: | 5128580905 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |