Healthcare Provider Details

I. General information

NPI: 1336132281
Provider Name (Legal Business Name): HUNTSVILLE CARDIOTHORACIC SURGEONS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SIVLEY RD SW SUITE 300
HUNTSVILLE AL
35801-5134
US

IV. Provider business mailing address

201 SIVLEY RD SW SUITE 300
HUNTSVILLE AL
35801-5134
US

V. Phone/Fax

Practice location:
  • Phone: 256-533-1077
  • Fax: 256-533-3379
Mailing address:
  • Phone: 256-533-1077
  • Fax: 256-533-3379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD LLOYD CLAY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 256-533-1077