Individual
MR. GLEN PERRY YORK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
400 E QUINCY ST, SAN ANTONIO, TX 78215-1934
(210) 472-0211
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3710
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03145
TX
Other
Enumeration date
09/21/2006
Last updated
04/16/2018
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