Healthcare Provider Details

I. General information

NPI: 1457368961
Provider Name (Legal Business Name): ENGLISH HAIRRELL GONZALEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2152 OLD SPRINGVILLE ROAD
BIRMINGHAM AL
35215-4005
US

IV. Provider business mailing address

2701 7TH S AVE
BIRMINGHAM AL
35233-3405
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-6000
  • Fax: 205-838-6078
Mailing address:
  • Phone: 205-939-7633
  • Fax: 205-930-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23774
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: