ANDREW G GLAZE (NPI# 1245599943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245599943 |
| Entity Type | Organization |
| Organization Name | ANDREW G GLAZE |
| Other Organization Name | GLAZE CLINIC OF MARSHALL |
| Practice Address |
701 N Washington St Marshall TX 75670-2011 |
| Practice Telephone | 9039348500 |
| Practice Fax Number | 9038434403 |
| Mailing Telephone | 9039348500 |
| Mailing Fax Number | 9038434403 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | DR. ANDREW G GLAZE (OWNER/PROVIDER) |
| Authorized Official Telephone | 9039348500 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC5316 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001484701 | 05 |
| Other Name | Type Code |
|---|---|
| Glaze Clinic of Marshall | Doing Business As Name - Organization |
| Street Address |
701 N WASHINGTON ST |
| City | MARSHALL |
| State | TX |
| Zip Code | 75670-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536988 | Christopher Hurd | Counselor | 1006 E East End Blvd N, Marshall, TX 75670 | 2020-04-02 |
| 1912547274 | Katie Bennett | Pharmacist | 300 E End Blvd, Marshall, TX 75670 | 2020-01-14 |
| 1083263677 | Fresh Start East Texas Counseling Services | Clinic/Center | 202 S. Alamo Blvd. Suite A, Marshall, TX 75670 | 2019-09-06 |
| 1376045831 | Tonja Deem | Nurse Practitioner | 815 S Wahshington Ave Ste 302, Marshall, TX 75670 | 2018-03-01 |
| 1609399641 | Michael Alan Rich Jr. | Specialist/Technologist | One Tiger Drive, East Texas Baptist University, Marshall, TX 75670 | 2017-07-21 |
| 1902359987 | Marshall Smiles Pllc | Dentist | 900 E End Blvd N, 200, Marshall, TX 75670 | 2016-07-26 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1629486717 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1007 South Washington Avenue, Marshall, TX 75670 | 2014-08-01 |
| 1558636407 | Valerie Butler | Internal Medicine | 815 South Washington Avenue, Ste 100 Internal Medicine Marshall, Marshall, TX 75670 | 2012-03-11 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| Find all providers in zip 75670 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581952 | Jessica Ann Peterson | Chiropractor | 1305 E College Dr Ste B, Marshall, MN 56258-2073 | 2018-03-14 |
| 1780131771 | John Fitzgibbon Memorial Hospital, Inc. | Chiropractor | 2305 South 65 Highway Building A, Marshall, MO 65340-3702 | 2016-09-07 |
| 1447706718 | Kylie Clemons | Chiropractor | 2305 South 65 Hwy, Marshall, MO 65340-3702 | 2016-08-28 |
| 1346624947 | Hennen Chiropractic P.l.l.c. | Chiropractor | 1411 E College Dr Ste 105, Marshall, MN 56258-2086 | 2015-07-13 |
| 1114310257 | Bryan Simpson | Chiropractor | 187 S Lyon Ave, Marshall, MO 65340-1965 | 2015-03-13 |
| 1720351406 | Michael Kern | Chiropractor | 303 S Oconnell St, Marshall, MN 56258-2637 | 2012-02-11 |
| 1285851188 | Wellum Chiropractic Center Inc | Chiropractor | 1602 Illinois Hwy 1, Marshall, IL 62441 | 2007-04-20 |
| 1689898488 | Wilson Chiropractic Clinic | Chiropractor | 2005 E Grand Ave, Marshall, TX 75672 | 2007-04-12 |
| 1417085671 | Lance P Cook | Chiropractor | 201 W Pinecrest Dr, Marshall, TX 75670-7173 | 2007-03-01 |
| 1467590331 | Lockhart Chiropractic, Inc. | Chiropractor | 754 S Odell Ave, Marshall, MO 65340-2504 | 2007-02-02 |
| Find all providers in MARSHALL | ||||
Please comment or provide details below to improve the information on ANDREW G GLAZE.
| 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.