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General NPI Number Information
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NPI Number | 1619481637
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Entity Type | Organization
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Legal Business Name | JONATHAN C. SNEAD, MD, PA DBA: ALLIANCE WOMEN'S HEALTHCARE
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 10932 N RIVERSIDE DR STE 100
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City | FORT WORTH
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State | TX
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Zip | 76244-7137
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Country | US
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Telephone | 817-741-9663
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Fax | 817-741-3691
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Provider Business Mailing Address
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Address Line | 10932 N RIVERSIDE DR STE 100
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City | FORT WORTH
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State | TX
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Zip | 76244-7137
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Country | US
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Telephone | 817-741-9663
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Fax | 817-741-3691
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Authorized Official
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Title or Position | CEO/PHYSICIAN
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Name | DR. JONATHAN CASTLE SNEAD II
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Credential | MD
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Telephone | 817-741-9663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L6186
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License Number State | TX
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