Provider Demographics
NPI:1861779944
Name:YOGA SYNERGY HEALTH & WELLNESS SPA
Entity type:Organization
Organization Name:YOGA SYNERGY HEALTH & WELLNESS SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:NRCMA,ROT
Authorized Official - Phone:972-495-7100
Mailing Address - Street 1:125 CEDAR SAGE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2944
Mailing Address - Country:US
Mailing Address - Phone:972-495-7100
Mailing Address - Fax:
Practice Address - Street 1:125 CEDAR SAGE DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2944
Practice Address - Country:US
Practice Address - Phone:972-495-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health