Organization
NED SNYDER IV, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NED SNYDER IV M.D. (OWNER)
(512) 533-9900
Entity
Organization
Contact information
Practice address
1510 W 34TH ST STE 100, AUSTIN, TX 78703-1432
(512) 533-9900
(512) 533-9901
Mailing address
1510 W 34TH ST STE 100, AUSTIN, TX 78703-1432
(512) 533-9900
(512) 533-9901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M0927
TX
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00339Z
MEDICARE GROUP PTAN
TX
01
—
311106401
MEDICAID GROUP TPI
TX
Enumeration date
09/28/2006
Last updated
05/01/2017
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