Provider Demographics
NPI:1144524067
Name:SNIDER & ASSOCIATES, INC.
Entity type:Organization
Organization Name:SNIDER & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:210-656-3236
Mailing Address - Street 1:PO BOX 160164
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78280-2364
Mailing Address - Country:US
Mailing Address - Phone:210-656-3236
Mailing Address - Fax:210-656-5963
Practice Address - Street 1:300 W BITTERS RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-1691
Practice Address - Country:US
Practice Address - Phone:210-656-5963
Practice Address - Fax:210-656-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0701213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX285660101Medicaid
TX285660101Medicaid
TXTXB119635Medicare PIN