Provider Demographics
NPI:1184501405
Name:SNOWDEN, GARRETT LINWOOD
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:LINWOOD
Last Name:SNOWDEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7139 WURZBACH RD APT 1302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1552
Mailing Address - Country:US
Mailing Address - Phone:210-831-2175
Mailing Address - Fax:
Practice Address - Street 1:18830 FORTY SIX PKWY
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-2305
Practice Address - Country:US
Practice Address - Phone:830-885-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43059390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program