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Individual

MRS. JANIS MARY SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6565 FANNIN ST, STE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
420671
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002605602
TX
05
1813290
LA
01
85404U
BLUE CROSS PROVIDER ID
01
P00255003
MEDICARE RAILROAD
TX
Enumeration date
05/28/2005
Last updated
12/09/2013
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