Healthcare Provider Details

I. General information

NPI: 1184501405
Provider Name (Legal Business Name): GARRETT LINWOOD SNOWDEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18830 FORTY SIX PKWY
SPRING BRANCH TX
78070-2305
US

IV. Provider business mailing address

7139 WURZBACH RD APT 1302
SAN ANTONIO TX
78240-1552
US

V. Phone/Fax

Practice location:
  • Phone: 830-885-7770
  • Fax:
Mailing address:
  • Phone: 210-831-2175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number43059
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: