MR. GLEN LOUIS DUBOIS (NPI# 1205913720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205913720 |
| Entity Type | Individual |
| Full Name | MR. GLEN LOUIS DUBOIS |
| Credential | PA-C |
| Practice Address |
2502 Morgan Ave Corpus Christi TX 78405-1807 |
| Practice Telephone | 3618886782 |
| Practice Fax Number | 3618823076 |
| Mailing Telephone | 3618886782 |
| Mailing Fax Number | 3618823076 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA004465 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BLUE SHIELD | 00069083 | 01 |
| Street Address |
2502 MORGAN AVE |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78405-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956574 | Jeffrey Travis Green Jr. | Physician Assistant | 2502 Morgan Ave, Corpus Christi, TX 78405-1807 | 2005-07-20 |
| 1821441841 | Dwight Anthony Davis | Nurse Practitioner | 2502 Morgan Ave, Corpus Christi, TX 78405-1807 | 2016-07-14 |
| 1013399898 | Roberta Jukes Rinald | Nurse Practitioner | 2502 Morgan Ave, Corpus Christi, TX 78405-1807 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147938 | Joshua Abraham Betancourt | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd.,5 West, Corpus Christi, TX 78405 | 2017-04-07 |
| 1407303068 | Ray Fernandez | Independent Medical Examiner | 2610 Hospital Blvd, Medical Examiner Dept, Corpus Christi, TX 78405 | 2016-09-01 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1003234493 | Alma S Rigona, M.d., P.a. | Pediatrics | 2418 Morgan Avenue, Corpus Christi, TX 78405 | 2014-04-02 |
| 1780022491 | Texas A&m Health Science Center-coastal Bend Health Education Center | Nutritionist | 4101 Old Brownsville Road, Hs1 Building, Suite 262, Corpus Christi, TX 78405 | 2013-06-05 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| 1427298843 | E&l Construction | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2823 Coleman St, Corpus Christi, TX 78405 | 2009-02-25 |
| 1124205109 | Gulfshore Services Inc | Clinical Medical Laboratory | 401 South Padre Island Road, Suit 102, Corpus Christi, TX 78405 | 2008-01-22 |
| Find all providers in zip 78405 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| 1740517945 | Mari Katrina D Capupus | Physician Assistant | 2706 W Mount Dr, Corpus Christi, TX 78414-3211 | 2009-11-09 |
| 1083800874 | Eileen M Widrick | Physician Assistant | 3945 Ih 69 Access Rd, Corpus Christi, TX 78410-4531 | 2007-09-14 |
| 1235169400 | Paul Donnelly Bridges | Physician Assistant | 14493 S Padre Island Dr, A-320, Corpus Christi, TX 78418-5931 | 2006-07-04 |
| 1497731632 | Teresa Morris | Physician Assistant | 4030 River Hill Dr, Corpus Christi, TX 78410-5606 | 2005-12-20 |
| 1538150206 | Darin Michael Mccann | Physician Assistant | 7101 Williams Dr, Corpus Christi, TX 78412-4947 | 2005-11-02 |
| 1417956574 | Jeffrey Travis Green Jr. | Physician Assistant | 2502 Morgan Ave, Corpus Christi, TX 78405-1807 | 2005-07-20 |
| 1083158802 | Padgett Parker | Physician Assistant | 14120 Northwest Blvd, Corpus Christi, TX 78410-5121 | 2016-12-13 |
| 1437605466 | Woonsik Lee | Physician Assistant | 1521 S Staples St Ste 803, Corpus Christi, TX 78404-3187 | 2016-08-30 |
| 1194045187 | Jermahl David Mckissick | Physician Assistant | 10651 E St, Naval Health Clinic Corpus Christi Tx, Corpus Christi, TX 78419-5130 | 2010-06-02 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78405 |
Please comment or provide details below to improve the information on MR. GLEN LOUIS DUBOIS.
| 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.