Basic Information
| Provider Information | |||||||||
| NPI: | 1376827048 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCGLINCHEY | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | EVA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | L.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10902 SILHOUETTE ST | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782163445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2103089608 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3851 ROGER BROOKE DR. | ||||||||
| Address2: | BROOKE ARMY MEDICAL CENTER, MCHE/CREDENTIALS | ||||||||
| City: | FT. SAM HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782346200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109162460 | ||||||||
| FaxNumber: | 2109165102 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2011 | ||||||||
| LastUpdateDate: | 09/29/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1210537 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.