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NPI Code Detail

MEDICARE: MRS. JANIS MARY SNYDER CRNA

MEDICARE: MRS. JANIS MARY SNYDER CRNA
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
1367500000XCertified Registered Nurse Anesthetist420671TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00255003OTHERTXMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
185404UOTHERBLUE CROSS PROVIDER ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710980263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANIS MARY SNYDER CRNA
Provider Business Mailing Address
First Line : 2411 FOUNTAIN VIEW DR
Second Line : SUITE 200
City : HOUSTON
State : TX
Zip : 77057-4817
Country : US
Telephone Number : 713-620-4000
Fax Number :
Provider Business Practice Location Address
First Line : 6565 FANNIN ST
Second Line : STE B452
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-441-3620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2005
Last Update Date : 12/09/2013

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