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NPI Code Detail

MEDICARE: DR. JENNY SNOW CARL MD

MEDICARE: DR. JENNY SNOW CARL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianM2916TX

General Provider Information

NPI Number : 1396712691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNY SNOW CARL MD
Provider Business Mailing Address
First Line : PO BOX 848476
Second Line :
City : DALLAS
State : TX
Zip : 75284-8476
Country : US
Telephone Number : 254-202-9330
Fax Number : 254-202-9349
Provider Business Practice Location Address
First Line : 7300 BOSQUE BLVD
Second Line :
City : WACO
State : TX
Zip : 76710-4023
Country : US
Telephone Number : 254-202-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2006
Last Update Date : 11/06/2023

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Directions to “ DR. JENNY SNOW CARL MD” Practice Location

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