Provider Demographics
NPI:1881783181
Name:SNYDER, H THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:H THOMAS
Middle Name:
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 845
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73702-0845
Mailing Address - Country:US
Mailing Address - Phone:580-297-5305
Mailing Address - Fax:580-297-5307
Practice Address - Street 1:1420 W OWEN K GARRIOTT RD STE 4A
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-5751
Practice Address - Country:US
Practice Address - Phone:580-297-5305
Practice Address - Fax:580-297-5307
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14796207V00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100253830BMedicaid
OKE11790Medicare UPIN