Provider Demographics
NPI:1750385027
Name:SNEED, LETISHA ANNETTE (MD)
Entity type:Individual
Prefix:
First Name:LETISHA
Middle Name:ANNETTE
Last Name:SNEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21759 LUISA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2159
Mailing Address - Country:US
Mailing Address - Phone:210-481-2544
Mailing Address - Fax:
Practice Address - Street 1:21759 LUISA
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2159
Practice Address - Country:US
Practice Address - Phone:210-481-2544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4802208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG92713Medicare UPIN