Provider Demographics
NPI:1457995011
Name:CHELSEA C SNIDER MD PLLC
Entity Type:Organization
Organization Name:CHELSEA C SNIDER MD PLLC
Other - Org Name:VIDA BELA PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-598-2400
Mailing Address - Street 1:PO BOX 670788
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75367-0788
Mailing Address - Country:US
Mailing Address - Phone:469-598-2400
Mailing Address - Fax:469-598-2399
Practice Address - Street 1:5899 PRESTON RD STE 1002
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9593
Practice Address - Country:US
Practice Address - Phone:469-598-2400
Practice Address - Fax:469-598-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty