Providence Healthcare Services
Providence Healthcare Services is a Gynecologic Oncology Physician in Gulf Shores, Alabama. Licensed in Texas. Registered with an NPI since 2011.
- Licensed in
- TX
- In the registry since
- 2011
Practice location Address checks out
253 Professional LnGulf Shores, AL 36542-3461
Phone: (251) 631-3490
Fax: (251) 631-3461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecologic Oncology Physician (primary) | Taxonomy 207VX0201X · Licence 940365 (TX) |
|---|
Record details
| NPI number | 1801188503 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clark Christianson — President · (251) 631-3574 |
| Other names | Providence Medical Group |
| NPI enumerated | May 12, 2011 |
| Last updated in NPPES | August 27, 2012 |
| Mailing address | Po Box 850489, Mobile, AL 36685-0489 |