Provider Demographics
NPI:1669944526
Name:SNELL, TRENDA L (RCPHT)
Entity type:Individual
Prefix:
First Name:TRENDA
Middle Name:L
Last Name:SNELL
Suffix:
Gender:F
Credentials:RCPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 HALL RD
Mailing Address - Street 2:
Mailing Address - City:SEAGOVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75159-2916
Mailing Address - Country:US
Mailing Address - Phone:972-287-7070
Mailing Address - Fax:972-287-8199
Practice Address - Street 1:112 HALL RD
Practice Address - Street 2:
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-2916
Practice Address - Country:US
Practice Address - Phone:972-287-7070
Practice Address - Fax:972-287-8199
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118658183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician