Healthcare Provider Details

I. General information

NPI: 1023114345
Provider Name (Legal Business Name): JOSEPH HAROLD SNOWDEN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 02/21/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 W 38TH ST STE 300
AUSTIN TX
78705-1161
US

IV. Provider business mailing address

4700 SETON CENTER PKWY STE 200
AUSTIN TX
78759-4107
US

V. Phone/Fax

Practice location:
  • Phone: 512-439-1000
  • Fax:
Mailing address:
  • Phone: 512-439-1000
  • Fax: 512-439-1081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number614
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: