# BIO-IDENTICAL HORMONES OF HUNTSVILLE

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

## Provider details

- **NPI number:** 1639501976
- **Authorized official:** MR. MASON TERRY (OFFICE MANAGER)
- **Authorized official phone:** (256) 715-8780

## Contact information

- **Practice address:** 3601 MEMORIAL PKWY SW, SUITE C, HUNTSVILLE, AL 35801-5397
- **Practice address phone:** (256) 715-8780
- **Practice address fax:** (256) 715-8769
- **Mailing address:** 3601 MEMORIAL PKWY SW, SUITE C, HUNTSVILLE, AL 35801-5397
- **Mailing address phone:** (256) 715-8780
- **Mailing address fax:** (256) 715-8769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 17161 | AL | Yes |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 08/08/2013