MEDICARE: DR. PATRICK F. GLASOW MD

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	2080P0202X	Pediatric Cardiology Physician	H1773	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	137174217	OTHER	TX	CSHCN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568468791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK F. GLASOW MD

Provider Business Mailing Address
First Line	:	7703 FLOYD CURL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-341-7722
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 BABCOCK RD
Second Line	:	SUITE 301
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4554
Country	:	US
Telephone Number	:	210-341-7722
Fax Number	:	210-342-8616

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/20/2017

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Directions to “ DR. PATRICK F. GLASOW MD” Practice Location

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