Primary Care Services of Shelby, Inc.
Organization Active NPI Family Medicine Physician · Homewood, AL
NPI 1386972990 · NPPES record last updated Nov 20, 2009
Key facts
- NPI
- 1386972990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PRIMARY CARE SERVICES OF SHELBY, INC.
- Practice address
- 1919 Oxmoor Rd
Suite 212
Homewood, AL 35209-3502 - Phone
- (205) 470-7281
- NPI assigned
- Nov 20, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Jorge Jimenez Lazo
- Title
- President
- Phone
- (205) 470-7281
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Primary Care Services of Shelby Inc
Locations
1919 Oxmoor Rd
Ste 212
Homewood, AL 35209
Phone (205) 470-7281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1919 Oxmoor Rd
Suite 212
Homewood, AL 35209-3502
Mailing address
1919 Oxmoor Rd
Suite 212
Homewood, AL 35209-3502
Phone (205) 470-7281
Other providers in Homewood, AL
- Oshea Sarwolo Poneys
- Patricia K. Ponseti
- Bryant Emory Poole
- Tyler Lewis Poston
- Austin Chase Powell
- Brennan Pritchard
- Proteus Molecular and Clinical Lab LLC
- Psych on Site of Alabama, Inc
- Psychiatry Associates of Birmingham
- Publix Alabama LLC
All providers in Homewood, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.