Individual
THEODORE SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4085 DE ZAVALA RD, SUITE 200, SHAVANO PARK, TX 78249-2084
(210) 558-6288
(210) 558-6289
Mailing address
PO BOX 681149, SAN ANTONIO, TX 78268-1149
(210) 558-6288
(210) 558-6289
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H8418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103547905
—
TX
Enumeration date
11/17/2005
Last updated
03/26/2015
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