Provider Demographics
NPI:1902628084
Name:SERVE ALL MEDICAL COLORADO SPRINGS PLLC
Entity type:Organization
Organization Name:SERVE ALL MEDICAL COLORADO SPRINGS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-316-3829
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:TX
Mailing Address - Zip Code:76534-0339
Mailing Address - Country:US
Mailing Address - Phone:719-308-5706
Mailing Address - Fax:719-698-0372
Practice Address - Street 1:1885 S ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-4511
Practice Address - Country:US
Practice Address - Phone:719-308-5706
Practice Address - Fax:719-698-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty