Individual
MRS. GAYLE HOLT SNOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CNOR
Contact information
Practice address
110 SCAMPER CV, LAKEWAY, TX 78734-5025
(512) 261-5649
(512) 371-7307
Mailing address
110 SCAMPER CV, LAKEWAY, TX 78734-5025
(512) 261-5649
(512) 371-7307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
504970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048HT
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/07/2006
Last updated
07/08/2007
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