# EASTERN SHORE ANESTHESIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467404558
- **Authorized official:** TIMOTHY W HOUSEMAN MD (PRESIDENT)
- **Authorized official phone:** (256) 764-9697

## Contact information

- **Practice address:** 750 MORPHY AVE, FAIRHOPE, AL 36532-1812
- **Practice address phone:** (251) 990-1109
- **Practice address fax:** (251) 990-1112
- **Mailing address:** PO BOX 661495, BIRMINGHAM, AL 35266-1495
- **Mailing address phone:** (205) 979-5882
- **Mailing address fax:** (205) 979-1248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 04/06/2021