Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | N9253 | TX |
NPI | 1013104090 |
---|---|
Provider Name | Dr. Christen Snyder Leaf |
First Address | Richardson, TX 75082-3665 |
Second Address | Richardson, TX 75082-4266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 14/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1955655 | (05) | LA |