Provider Demographics
NPI:1821275769
Name:SNAPPER HEALTHCARE CLINIC, PLLC
Entity Type:Organization
Organization Name:SNAPPER HEALTHCARE CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-504-6282
Mailing Address - Street 1:11520 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 134
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6605
Mailing Address - Country:US
Mailing Address - Phone:972-504-6282
Mailing Address - Fax:214-988-9018
Practice Address - Street 1:11520 N CENTRAL EXPY
Practice Address - Street 2:SUITE 134
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6605
Practice Address - Country:US
Practice Address - Phone:972-504-6282
Practice Address - Fax:214-988-9018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9672261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center