GLEN L BRUENJES DDS PLLC (NPI# 1619534567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619534567 |
| Entity Type | Organization |
| Organization Name | GLEN L BRUENJES DDS PLLC |
| Practice Address |
909 Dairy Ashford Rd Ste 104 Houston TX 77079-5306 |
| Practice Telephone | 2814934173 |
| Practice Fax Number | 2814934388 |
| Mailing Telephone | 2814934173 |
| Mailing Fax Number | 2814934388 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | DR. GLEN L BRUENJES (OWNER) |
| Authorized Official Telephone | 2814934173 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
909 DAIRY ASHFORD RD STE 104 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1851944011 | Evan C. Adams Dds Pllc | Clinic/Center | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079-5306 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| 1174929145 | Lixana Vega Vega Md Pllc | Surgery | 950 Threadneedle Street, Suite 140, Houston, TX 77079 | 2014-11-18 |
| Find all providers in zip 77079 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309209 | Big Daddy Medical Supply | Durable Medical Equipment & Medical Supplies | 14747 Charlmont Dr, Houston, TX 77083-5645 | 2020-09-02 |
| 1083225528 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 110 E. Richey Rd, Houston, TX 77090-5802 | 2020-08-10 |
| 1689283145 | Iv & Home Health Services of Texas | Durable Medical Equipment & Medical Supplies | 7545 Cherry Park Dr, Houston, TX 77095-2722 | 2020-07-30 |
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1609485697 | Houston Care Medical Supplies | Durable Medical Equipment & Medical Supplies | 440 Benmar Dr Ste 1022e, Houston, TX 77060-3271 | 2020-07-27 |
| 1750999306 | King Ross Medical Supply | Durable Medical Equipment & Medical Supplies | 5200 Mitchelldale St Ste F21, Houston, TX 77092-7221 | 2020-07-20 |
| 1346866738 | Tek Med 1 LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160a, Houston, TX 77029-1299 | 2020-06-22 |
| 1225654619 | Tek Med II, LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160b, Houston, TX 77029-1299 | 2020-06-22 |
| 1215553615 | Tek Med IIi, LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160c, Houston, TX 77029-1299 | 2020-06-22 |
| 1033732524 | Nextstage Medical, LLC | Durable Medical Equipment & Medical Supplies | 510 Bering Dr Ste 650, Houston, TX 77057-1451 | 2020-05-19 |
| Find all providers in HOUSTON | ||||
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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.