MR. GLYNN JORDAN BOGARD (NPI# 1861875148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861875148 |
| Entity Type | Individual |
| Full Name | MR. GLYNN JORDAN BOGARD |
| Credential | LMT |
| Practice Address |
9929 S Padre Island Dr Ste 113 Corpus Christi TX 78418-5148 |
| Mailing Address |
538 Del Mar Blvd Corpus Christi TX 78404-2906 |
| Practice Telephone | 3619375508 |
| Mailing Telephone | 3618150421 |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 122096 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9929 S PADRE ISLAND DR STE 113 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78418-5148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355849 | Apollo Health Management | Clinical Medical Laboratory | 15141 Dasmarinas Drive, Corpus Christi, TX 78418 | 2017-09-14 |
| 1447441811 | Terri R Kawamura | Nurse Practitioner | 1145 Waldron, Corpus Christi, TX 78418 | 2007-08-09 |
| 1225249915 | Edward Daniel Schiller | Anesthesiology | 14918 Tesoro Dr, Corpus Christi, TX 78418 | 2007-05-24 |
| 1194931311 | Jesus Jimenez | Military Health Care Provider | 1017a Huey Dr, Corpus Christi, TX 78418 | 2007-05-15 |
| 1194898072 | Michael Dennis Lecompte | Orthopaedic Surgery | 14338 Playa Del Rey, Corpus Christi, TX 78418 | 2006-11-16 |
| 1841385960 | Bay Area Adult Day Care Inc. | Clinic/Center | 9241 South Padre Island Dr., Corpus Christi, TX 78418 | 2006-10-04 |
| 1922106780 | Thomas Raymond Hollingsworth IIi | Chiropractor | 9450 Spid, Ste 5, Corpus Christi, TX 78418 | 2006-09-20 |
| 1356450787 | H-e-b, Lp | Clinical Medical Laboratory | 1145 Waldron Rd, Corpus Christi, TX 78418 | 2006-08-30 |
| 1760597918 | William Frederick Craft | Optometrist | 14650 Compass St, Suite 2, Corpus Christi, TX 78418 | 2006-08-20 |
| 1619980232 | Roy L Tiemeyer Ddspc | Dentist | 10338 S.p.i.d.#2, Corpus Christi, TX 78418 | 2006-08-14 |
| Find all providers in zip 78418 | ||||
| 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 |
|---|---|---|---|---|
| 1972154961 | Keri Bair | Massage Therapist | 6205 Blankenberge Dr, Corpus Christi, TX 78414-6058 | 2019-09-22 |
| 1073915765 | Anna Brooke Knight | Massage Therapist | 9929 Spid Dr, Suite #113, Corpus Christi, TX 78418-5105 | 2014-09-24 |
| 1902059991 | Kent Dwain Savage | Massage Therapist | 1001 Louisiana, Ste. 402, Corpus Christi, TX 78404 | 2008-11-04 |
| 1427212679 | Maria Elena Evans | Massage Therapist | 6500 S Padre Island Dr, Suite 38, Corpus Christi, TX 78412-4065 | 2008-07-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78418 |
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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.