Provider Demographics
NPI:1053421461
Name:SNUGGS, JOHN HASKEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HASKEL
Last Name:SNUGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:421 W CONCHO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-6310
Mailing Address - Country:US
Mailing Address - Phone:325-224-4900
Mailing Address - Fax:325-224-4949
Practice Address - Street 1:421 W CONCHO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6310
Practice Address - Country:US
Practice Address - Phone:325-224-4900
Practice Address - Fax:325-224-4949
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ87792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ8779OtherMEDICAL LICENSE NUMBER
200596820OtherTAX IDENTIFICATION NUMBER
TX610293Medicare ID - Type Unspecified