Provider Demographics
NPI:1457406365
Name:SNIP, ROBERT CHARLES (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHARLES
Last Name:SNIP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2851
Mailing Address - Street 2:
Mailing Address - City:TELLURIDE
Mailing Address - State:CO
Mailing Address - Zip Code:81435-2851
Mailing Address - Country:US
Mailing Address - Phone:210-381-7700
Mailing Address - Fax:210-614-3604
Practice Address - Street 1:418 W. COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:TELLURIDE
Practice Address - State:CO
Practice Address - Zip Code:81435
Practice Address - Country:US
Practice Address - Phone:210-381-7700
Practice Address - Fax:210-614-3604
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODRP.0000741207W00000X
MDF3622207W00000X
TXF3622207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099380001Medicaid
TX82C131Medicare ID - Type UnspecifiedINDIVIDUAL #