MRS. BRENDA J. CLARK (NPI# 1346536802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346536802 |
Entity Type | Individual |
Full Name | MRS. BRENDA J. CLARK |
Credential | LMT |
Practice Address |
19626 Nara Vista Dr Tomball TX 77377-3478 |
Practice Telephone | 7134927767 |
Mailing Telephone | 7134927767 |
Enumeration Date | 2011-06-23 |
Last Update Date | 2011-06-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT046374 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265083497 | Brenda Clark | Technician | 5824 Catalina Dr, Columbus, GA 31909-4660 | 2019-09-29 |
1346592946 | Brenda Flynn Clark | Social Worker | 601n State St, Ukiah, CA 95482-4026 | 2012-10-05 |
1629373881 | Brenda Jill Clark | Nurse Practitioner | 2312 Ridgeway Ave, Oskaloosa, IA 52577-9109 | 2011-01-20 |
1710147798 | Brenda S Clark | Speech-Language Pathologist | 7501 Otoe Pl, Lincoln, NE 68506-3636 | 2008-06-12 |
1417979576 | Brenda B Clark | Physician Assistant | 371 Nc Hwy 65, Suite204 Rockingham Co. Dept of Public Health, Wentworth, NC 27375-0204 | 2006-07-24 |
1760479661 | Brenda Clark | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2005-10-05 |
1881245850 | Brenda B Clark | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2019-09-21 |
1255820569 | Brenda Clark | Social Worker | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2018-05-02 |
1376050914 | Brenda Belden Clark | Pharmacist | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2018-01-04 |
1508379504 | Brenda M Clark | Registered Nurse | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2017-11-13 |
Street Address |
19626 NARA VISTA DR |
City | TOMBALL |
State | TX |
Zip Code | 77377-3478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801594 | Gavin John Le Nobel | Otolaryngology | 14211 Fm 2920 Road, Suite 110, Tomball, TX 77377 | 2020-08-14 |
1144855057 | P&l Transportation LLC | Private Vehicle | 21834 E Yaupon Circle, Tomball, TX 77377 | 2020-03-11 |
1033767520 | Daniel Max & Marcandrea, LLC | Optometrist | 14090 Farm To Market 2920, Suite B, Tomball, TX 77377 | 2019-08-28 |
1932682689 | Donna C. Brown | Licensed Vocational Nurse | 11743 Northpointe Blvd. Tomball, Texas, Apt. 1131, Tomball, TX 77377 | 2018-09-10 |
1972097491 | Latrisala Bankston | Nurse Practitioner | 15535 Downford Dr, Tomball, TX 77377 | 2018-06-18 |
1700377249 | Yen Bui | Physician Assistant | 11931 Laurel Meadow Dr, Tomball, TX 77377 | 2018-05-21 |
1487165593 | Melanie Abella | Behavioral Analyst | 17418 Sunset Arbor Dr, Tomball, TX 77377 | 2017-10-16 |
1366991457 | Ida Echols | Specialist/Technologist, Other | 16131 N. Eldridge Pkwy Suite 200, Suite 5, Tomball, TX 77377 | 2016-09-29 |
1861861635 | Tayloe Douglas | Student in an Organized Health Care Education/Training Program | 15451 Kenny Drive, Tomball, TX 77377 | 2015-09-22 |
1578930343 | Han Bui | Optometrist | 14079 Fm 2920 Tomball Tx 77377, Tomball, TX 77377 | 2015-08-28 |
Find all providers in zip 77377 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497050520 | Kathryn Marie Champenois | Massage Therapist | 11411 Sugar Bowl Dr, Tomball, TX 77375-2844 | 2011-01-20 |
1760794234 | Jonathan Mark Coutinho | Massage Therapist | 12514 Pavilion Ct, Tomball, TX 77377-9016 | 2010-07-12 |
1902089030 | Kimberly Ridgeway | Massage Therapist | 22319 Mosswillow Ln, Tomball, TX 77375-2833 | 2007-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
1437750239 | Vincent Trinh | Massage Therapist | 8219 La Roche Ln, Houston, TX 77036-7305 | 2020-11-06 |
1295336691 | Emily Burris | Massage Therapist | 1202 Juniper, Princeton, TX 75407-2867 | 2020-11-03 |
1790386043 | Julian Denman | Massage Therapist | 4009 Victory Dr Apt C311, Austin, TX 78704-7588 | 2020-11-03 |
1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
1821698960 | Whivolyn Thomas | Massage Therapist | 3939 Synott Rd Apt 402, Houston, TX 77082-5231 | 2020-10-28 |
1790385730 | Beatriz Y Ogarek | Massage Therapist | 9945 Barker Cypress Rd Ste 200, Cypress, TX 77433-5319 | 2020-10-28 |
1598364002 | Angelique Bella | Massage Therapist | 2832 Rush Creek Rd, Mckinney, TX 75072-7224 | 2020-10-26 |
1770182255 | Tyana Washington | Massage Therapist | 1018 Port Neches Dr, Little Elm, TX 75068-5935 | 2020-10-26 |
1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.