Provider Demographics
NPI:1174713986
Name:AL-SHALCHI MD ASSOCIATES PA
Entity type:Organization
Organization Name:AL-SHALCHI MD ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAJAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:AL-SHALCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-520-8060
Mailing Address - Street 1:7712 ECKHERT RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3008
Mailing Address - Country:US
Mailing Address - Phone:210-520-8060
Mailing Address - Fax:210-520-0696
Practice Address - Street 1:7712 ECKHERT RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3008
Practice Address - Country:US
Practice Address - Phone:210-520-8060
Practice Address - Fax:210-520-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1809261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXOOY122Medicare PIN
TXB20827Medicare UPIN