MEDICARE: AL-SHALCHI MD ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	G1809	TX

General Provider Information

NPI Number	:	1174713986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AL-SHALCHI MD ASSOCIATES PA

Provider Business Mailing Address
First Line	:	7712 ECKHERT RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-3008
Country	:	US
Telephone Number	:	210-520-8060
Fax Number	:	210-520-0696

Provider Business Practice Location Address
First Line	:	7712 ECKHERT RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-3008
Country	:	US
Telephone Number	:	210-520-8060
Fax Number	:	210-520-0696

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. NAJAH M AL-SHALCHI
Credential	:	M.D.
Telephone Number	:	210-520-8060

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	12/03/2007

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