Provider Demographics
NPI:1821301177
Name:NATHAN R GARCIA, OD AND SCOTT L SNOWBERGER, OD, PA
Entity Type:Organization
Organization Name:NATHAN R GARCIA, OD AND SCOTT L SNOWBERGER, OD, PA
Other - Org Name:TEXAS STATE OPTICAL 1029
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-251-3700
Mailing Address - Street 1:1512 TOWN CENTER DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7678
Mailing Address - Country:US
Mailing Address - Phone:512-251-3700
Mailing Address - Fax:
Practice Address - Street 1:1512 TOWN CENTER DR
Practice Address - Street 2:SUITE 500
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7678
Practice Address - Country:US
Practice Address - Phone:512-251-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6394TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty