Healthcare Provider Details

I. General information

NPI: 1548170509
Provider Name (Legal Business Name): TIMOTHY HOUSER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 11TH ST S
BIRMINGHAM AL
35233-1221
US

IV. Provider business mailing address

1588 WHITE DR
BESSEMER AL
35023-4316
US

V. Phone/Fax

Practice location:
  • Phone: 205-910-6761
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number2400032
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: