Provider Demographics
NPI:1295830891
Name:TOTAL SPORTS CARE, P.C.
Entity Type:Organization
Organization Name:TOTAL SPORTS CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COWART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-382-7767
Mailing Address - Street 1:4205 BALMORAL DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801
Mailing Address - Country:US
Mailing Address - Phone:256-382-7767
Mailing Address - Fax:256-880-5262
Practice Address - Street 1:4205 BALMORAL DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-382-7767
Practice Address - Fax:256-880-5262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL97264207Q00000X
AL94689207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4848850001Medicare NSC