MEDICARE: RENEE R SNYDER M.D.

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	207N00000X	Dermatology Physician	M0280	TX

General Provider Information

NPI Number	:	1942281639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE R SNYDER M.D.

Provider Business Mailing Address
First Line	:	1510 W 34TH ST STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-1432
Country	:	US
Telephone Number	:	512-533-9900
Fax Number	:	512-533-9901

Provider Business Practice Location Address
First Line	:	1510 W 34TH ST STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-1432
Country	:	US
Telephone Number	:	512-533-9900
Fax Number	:	512-533-9901

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	04/03/2024

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