John Snider, MD
Family Medicine in Waco, TX. Individual provider (NPI-1).
NPI number1124474465
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1124474465
- Entity type
- Individual (NPI-1)
- Name
- John Snider
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2016
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | R6292 | TX | Yes |
| 207Q00000X | Family Medicine | BP10057225 | TX |
Practice location
7702 Central Park DrWaco, TX 76712-6535
Phone 254-202-7700 · Fax 254-202-7710
Mailing address
Po Box 848476Dallas, TX 75284-8476
Phone 254-202-4655 · Fax 254-202-4697
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