Provider Demographics
NPI:1710978200
Name:SNIDER, STEVEN P (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:P
Last Name:SNIDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160164
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78280-2364
Mailing Address - Country:US
Mailing Address - Phone:210-656-3236
Mailing Address - Fax:210-656-5963
Practice Address - Street 1:300 W BITTERS RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-1691
Practice Address - Country:US
Practice Address - Phone:210-656-3236
Practice Address - Fax:210-656-5963
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0701213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018785802Medicaid
TX285660101Medicaid
TXT16004Medicare UPIN
TXTXB119636Medicare PIN
TX018785802Medicaid