{
"Npi": {
"NPI": "1033229778",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VA HOSPITAL",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8222 LONE BRIDGE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUMBLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77338-1726",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-446-8470",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8222 LONE BRIDGE LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUMBLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77338-1726",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-446-8470",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/30/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRANDYBERG-IKWUAGWU",
"AuthorizedOfficialFirstName": "PAULA",
"AuthorizedOfficialMiddleName": "LE'CHELLE",
"AuthorizedOfficialTitle": "REGISTERED RESPIRATORY THERAPIST",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "B.S., RRT",
"AuthorizedOfficialTelephoneNumber": "281-446-8470",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NC0060X",
"TaxonomyName": "Critical Access Hospital",
"LicenseNumber": "63094",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}