Individual
MRS. LISA DAWN SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 MEDI PARK DR, BLDG D SUITE 2051, AMARILLO, TX 79106-2110
(806) 359-0718
(806) 359-9613
Mailing address
1901 MEDI PARK DR, BLDG D SUITE 2051, AMARILLO, TX 79106-2110
(806) 359-0718
(806) 359-9613
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PENDING- TEMPORARY
TX
363AS0400X
Surgical Physician Assistant
PENDING - TEMPORARY
TX
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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