Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0122X | Plastic and Reconstructive Surgery | 125062102 | IL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | R8111 | TX |
NPI | 1306100276 |
---|---|
Provider Name | Chelsea Christine Snider |
First Address | Dallas, TX 75367-0788 |
Second Address | Frisco, TX 75034-9593 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2012 |
Last Update Date | 07/02/2022 |