Individual
DR. JON BENJAMIN SNELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 S ALAMEDA ST, SUITE #403, CORPUS CHRISTI, TX 78411-1882
(361) 853-7319
(361) 853-1641
Mailing address
3301 S ALAMEDA ST, SUITE #403, CORPUS CHRISTI, TX 78411-1882
(361) 853-7319
(361) 853-1641
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E8179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079603901
—
TX
05
—
119169403
—
TX
01
—
180015985
RAILROAD GBA - RAILROAD MEDICARE
TX
01
—
887922
BC/BS TX#
TX
01
—
8BB570
BCBS OF TEXAS
TX
Enumeration date
04/17/2006
Last updated
01/05/2009
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