Provider Demographics
NPI:1205976925
Name:SNOWDEN, ERIC C (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:SNOWDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6351 PRESTON ROAD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:214-872-3381
Mailing Address - Fax:972-294-6682
Practice Address - Street 1:6351 PRESTON ROAD
Practice Address - Street 2:SUITE 160
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:214-872-3381
Practice Address - Fax:972-294-6682
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC27864Medicare ID - Type Unspecified
CAU92597Medicare UPIN