Provider Demographics
NPI:1669010773
Name:SNYDER, AUDREY C (PA-C)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:C
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:C
Other - Last Name:SCHMITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:5220 W UNIVERSITY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7418
Mailing Address - Country:US
Mailing Address - Phone:972-984-1050
Mailing Address - Fax:972-984-1376
Practice Address - Street 1:5220 W UNIVERSITY DR STE 150
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7418
Practice Address - Country:US
Practice Address - Phone:972-984-1050
Practice Address - Fax:972-984-1376
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA13244363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant