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SYNERGY AESTHETICS & WELLNESS
NPI 1396109138
General Practice in Willis, TX

Active since April 07, 2016
12501 CANYON FALLS BLVD, SUITE B, WILLIS, TX 77318(936) 449-8008(936) 449-8007 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Synergy Aesthetics & Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYNERGY AESTHETICS & WELLNESS (NPI 1396109138) is a healthcare organization registered as a general practice in Willis, Texas and active in the NPI registry since April 2016. The organization lists Jeffrey Pruski, President, as its authorized official.

NPPES Registry Identity

NPI1396109138
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSYNERGY AESTHETICS & WELLNESS
Location Address12501 CANYON FALLS BLVD, SUITE BWillis, TX 77318-5825
Mailing Address12501 Canyon Falls Blvd, Suite BWillis, TX 77318-5825 · (936) 449-8008 · Fax (936) 449-8007
Phone(936) 449-8008
Fax(936) 449-8007
Organization SubpartNo
Authorized OfficialJeffrey PruskiPresident · (936) 661-2584
Enumeration DateApril 7, 2016
✔ NPI 1396109138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed · K9742
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12501 CANYON FALLS BLVD, Willis, TX 77318
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL BAILEY DDS PLLC
Clinic/Center (Dental)
12501 CANYON FALLS BLVD
WILLIS, TX 77318
Montgomery County (936) 931-4462
PIONEER DENTISTRY OF WILLIS, PLLC
Dentist (General Practice)
12501 CANYON FALLS BLVD
WILLIS, TX 77318
Montgomery County (936) 931-4462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Synergy Aesthetics & Wellness's NPI number?

The NPI number for Synergy Aesthetics & Wellness is 1396109138. It was assigned to this organization in the NPPES registry on April 7, 2016.

Where is Synergy Aesthetics & Wellness located?

Synergy Aesthetics & Wellness is located at 12501 Canyon Falls Blvd Suite B, Willis, TX 77318. The listed phone number is (936) 449-8008.

What is Synergy Aesthetics & Wellness's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Synergy Aesthetics & Wellness was last updated on April 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.