MEDICARE: DR. WILLIAM D SNYDER 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
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	H5070	TX

General Provider Information

NPI Number	:	1457545881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM D SNYDER MD

Provider Business Mailing Address
First Line	:	400 E DOVE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2240
Country	:	US
Telephone Number	:	956-686-2663
Fax Number	:	956-686-0151

Provider Business Practice Location Address
First Line	:	400 E DOVE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2240
Country	:	US
Telephone Number	:	956-686-2663
Fax Number	:	956-686-0151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	08/29/2007

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