Provider Demographics
NPI:1083204028
Name:SNOW, BILLY (EDD)
Entity type:Individual
Prefix:DR
First Name:BILLY
Middle Name:
Last Name:SNOW
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N AKARD ST APT 1323
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-3456
Mailing Address - Country:US
Mailing Address - Phone:469-285-0949
Mailing Address - Fax:
Practice Address - Street 1:300 N AKARD ST APT 1323
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-3456
Practice Address - Country:US
Practice Address - Phone:469-285-0949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor