MEDICARE: DANIEL P SNEED DO

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	207Q00000X	Family Medicine Physician	H2798	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750309050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL P SNEED DO

Provider Business Mailing Address
First Line	:	3645 WESTERN CENTER BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1936
Country	:	US
Telephone Number	:	817-232-9767
Fax Number	:	817-232-9102

Provider Business Practice Location Address
First Line	:	3645 WESTERN CENTER BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1936
Country	:	US
Telephone Number	:	817-232-9767
Fax Number	:	817-232-9102

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/01/2010

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Directions to “ DANIEL P SNEED DO” Practice Location

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