MEDICARE: TIMLIN PATRICK GLASER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	E-19602	AR
2	207P00000X	Emergency Medicine Physician	OT019423	PA
3	207PT0002X	Medical Toxicology (Emergency Medicine) Physician	E-19602	AR
4	207P00000X	Emergency Medicine Physician	010714	AZ

General Provider Information

NPI Number	:	1538729066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMLIN PATRICK GLASER DO

Provider Business Mailing Address
First Line	:	4301 W MARKHAM ST # 783
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-7101
Country	:	US
Telephone Number	:	501-686-8000
Fax Number	:	501-526-5148

Provider Business Practice Location Address
First Line	:	4301 W MARKHAM ST # 584
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-7101
Country	:	US
Telephone Number	:	501-686-8000
Fax Number	:	501-526-5148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	10/02/2025

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Directions to “ TIMLIN PATRICK GLASER DO” Practice Location

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