Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | M0927 | TX |
N | 208600000X | Surgeon | M0927 | TX |
Y | 2086S0122X | Plastic and Reconstructive Surgery | M0927 | TX |
NPI | 1265413959 |
---|---|
Provider Name | Ned Snyder IV |
First Address | Austin, TX 78703-1432 |
Second Address | Austin, TX 78703-1432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 03/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
185231102 | (05) | TX |
I39420 | (02) | TX |