Provider Demographics
NPI:1376624833
Name:MCFARLAND, CAROL MCVICAR (PT, PHD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:MCVICAR
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 BUNKER DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-8871
Mailing Address - Country:US
Mailing Address - Phone:903-530-5677
Mailing Address - Fax:
Practice Address - Street 1:4882 HIGHTECH DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-2613
Practice Address - Country:US
Practice Address - Phone:903-300-0234
Practice Address - Fax:903-630-9999
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1025559225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86928TOtherBLUE CROSS BLUE SHIELD
TX8A3275Medicare ID - Type Unspecified