Healthcare Provider Details

I. General information

NPI: 1821275769
Provider Name (Legal Business Name): SNAPPER HEALTHCARE CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11520 N CENTRAL EXPY SUITE 134
DALLAS TX
75243-6605
US

IV. Provider business mailing address

11520 N CENTRAL EXPY SUITE 134
DALLAS TX
75243-6605
US

V. Phone/Fax

Practice location:
  • Phone: 972-504-6282
  • Fax: 214-988-9018
Mailing address:
  • Phone: 972-504-6282
  • Fax: 214-988-9018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number9672
License Number StateTX

VIII. Authorized Official

Name: DR. DARREN HOWLAND
Title or Position: CEO
Credential: D.C.
Phone: 972-504-6282