Organization
NICHOLAS R SNAVELY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS R SNAVELY MD (SOLE PROPRIETOR/OWNER OF EIN)
(512) 767-7546
Entity
Organization
Contact information
Practice address
10815 RR 2222 BLDG 3A STE 200, AUSTIN, TX 78730-1159
(512) 767-7546
(512) 767-7545
Mailing address
10815 RR 2222 BLDG 3A STE 200, AUSTIN, TX 78730-1159
(512) 767-7546
(512) 767-7545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
TX
207ND0900X
Dermatopathology Physician
—
TX
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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