Provider Demographics
NPI:1558693507
Name:MARY SNELLINGS MD PLLC
Entity Type:Organization
Organization Name:MARY SNELLINGS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:SNELLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-539-2214
Mailing Address - Street 1:2364 HIGHWAY 287 N
Mailing Address - Street 2:SUITE 115
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-9208
Mailing Address - Country:US
Mailing Address - Phone:817-539-2214
Mailing Address - Fax:817-539-2254
Practice Address - Street 1:2364 HIGHWAY 287 N
Practice Address - Street 2:SUITE 115
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-9208
Practice Address - Country:US
Practice Address - Phone:817-539-2214
Practice Address - Fax:817-539-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7655207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty