MR. MAX GARY HOLLER (NPI# 1710976691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710976691 |
| Entity Type | Individual |
| Full Name | MR. MAX GARY HOLLER |
| Credential | L.A.T. |
| Practice Address |
1206 W 11th St Freeport TX 77541-5346 |
| Practice Telephone | 9792300291 |
| Mailing Telephone | 9792300291 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0747 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1206 W 11TH ST |
| City | FREEPORT |
| State | TX |
| Zip Code | 77541-5346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909022 | Aida Garza | Counselor | 200 W. 2nd St., Suite 228, Freeport, TX 77541 | 2015-08-03 |
| 1982960720 | Adapt Programs, LLC | Clinic/Center | 210 W 1st Street, Suite B Room 1, Freeport, TX 77541 | 2012-04-05 |
| 1467976530 | Carmen Garcia-garza | Nurse Practitioner | 905 N Gulf Blvd, Freeport, TX 77541 | 2017-07-31 |
| 1326380767 | Mohamed Awni Zebda | Pediatrics | 905 N Gulf Blvd, Freeport, TX 77541 | 2013-03-25 |
| 1003022898 | Nusrat Ahmed | Family Medicine | 905 N Gulf Blvd, Freeport, TX 77541 | 2007-05-16 |
| 1952707861 | Melissa Colvin | Nurse Practitioner | 602 Copper Rd, Freeport, TX 77541-3001 | 2014-11-05 |
| 1083926752 | Stanley H Miller | Preventive Medicine | 2301 N Brazosport Blvd # B-101, Dow Chemical Health Services, Freeport, TX 77541-3203 | 2010-07-09 |
| 1063633303 | Beverly E Morrison | Physical Medicine & Rehabilitation | 1102 N Brazosport Blvd, Freeport, TX 77541-3504 | 2007-05-02 |
| 1114917846 | Atlas Dental Lp | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2005-10-25 |
| 1457727109 | Shine Dental Pllc | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2015-08-17 |
| Find all providers in zip 77541 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033777040 | Catherine Marie Cavanagh | Specialist/Technologist | 73 Elliott Pl, Freeport, NY 11520-4812 | 2019-06-04 |
| 1376001941 | Kaitlyn Frey | Specialist/Technologist | 117 Gordon Pl, Freeport, NY 11520-5617 | 2019-03-03 |
| 1871057034 | Bryce Brown | Specialist/Technologist | 6688 N Oak Rd, Freeport, IL 61032-9084 | 2019-01-22 |
| 1518464767 | Molly Lutz | Specialist/Technologist | 12615 Business Hwy 331, Freeport, FL 32439 | 2018-04-12 |
| 1295243301 | Jerek Charles Pontius | Specialist/Technologist | 627 N Greenfield Dr, Freeport, IL 61032-2914 | 2018-01-11 |
| 1023558335 | Kearney Gutierrez | Specialist/Technologist | 156 N Brookside Ave, Freeport, NY 11520-1931 | 2017-03-06 |
| 1952840266 | Katherine Mclelland | Specialist/Technologist | 12615 U.S. 331 Bus, Freeport, FL 32439 | 2017-02-20 |
| 1912355033 | Katherine Shipe | Specialist/Technologist | 169 Foreman Rd, Freeport, PA 16229-1797 | 2016-05-31 |
| 1366729741 | Devon D Taylor | Specialist/Technologist | 455 W Merrick Rd, Freeport, NY 11520-4123 | 2011-11-13 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in FREEPORT | ||||
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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.