Provider Demographics
NPI:1134113137
Name:SNEED, DAVID L (DO PA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:SNEED
Suffix:
Gender:M
Credentials:DO PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N CAPITAL OF TEXAS HWY
Mailing Address - Street 2:BUILDING 6 SUITE 125
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3302
Mailing Address - Country:US
Mailing Address - Phone:512-443-9355
Mailing Address - Fax:512-443-9373
Practice Address - Street 1:500 N CAPITAL OF TEXAS HWY
Practice Address - Street 2:BUILDING 6 SUITE 125
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-3302
Practice Address - Country:US
Practice Address - Phone:512-443-9355
Practice Address - Fax:512-443-9373
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4549207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0079JUOtherBCBS
TX114906404Medicaid
TX114906404Medicaid
A67679Medicare UPIN