Active NPI
William Lewis Snyder Jr., R.T.(R)(ARRT)
- Radiologic Technologist
- Desoto, TX
National Provider Identifier
1104292119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 105295
- Practice address
- 551 Renee LN
Desoto, TX 75115-5161 - Phone
- (972) 223-4480
- NPI assigned
- Aug 12, 2015
- Last updated
- Aug 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 105295 | TX | Primary |
Addresses
Primary practice location
551 Renee LN
Desoto, TX 75115-5161
Mailing address
551 Renee LN
Desoto, TX 75115-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105295 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1104292119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 RENEE LN",
"city": "DESOTO",
"state": "TX",
"postal_code": "751155161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 RENEE LN",
"city": "DESOTO",
"state": "TX",
"postal_code": "751155161",
"telephone_number": "972-223-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "WILLIAM",
"middle_name": "LEWIS",
"name_suffix": "Jr.",
"credential": "R.T.(R)(ARRT)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "TX",
"license": "105295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.