MEDICARE: MR. PATRICK ROBERT FLANNERY OTR L

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	225X00000X	Occupational Therapist	110305	TX

General Provider Information

NPI Number	:	1043377690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK ROBERT FLANNERY OTR L

Provider Business Mailing Address
First Line	:	7817 CHARLERO DRIVE
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414
Country	:	US
Telephone Number	:	361-985-9424
Fax Number	:

Provider Business Practice Location Address
First Line	:	7817 CHARLERO DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-6003
Country	:	US
Telephone Number	:	361-816-3199
Fax Number	:

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	05/03/2026

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