{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "BRUCE I. LOBAR, M.D., P.A.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "414 NAVARRO ST",
"SecondLineMailingAddress": "SUITE 909",
"MailingAddressCityName": "SAN ANTONIO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78205-2516",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "210-271-0193",
"MailingAddressFaxNumber": "210-271-0196",
"FirstLinePracticeLocationAddress": "414 NAVARRO ST",
"SecondLinePracticeLocationAddress": "SUITE 909",
"PracticeLocationAddressCityName": "SAN ANTONIO",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "210-271-0193",
"PracticeLocationAddressFaxNumber": "210-271-0196",
"EnumerationDate": "08/01/2007",
"LastUpdateDate": "01/06/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LOBAR",
"AuthorizedOfficialFirstName": "BRUCE",
"AuthorizedOfficialMiddleName": "IAN",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "210-614-5242",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084N0400X",
"TaxonomyName": "Neurology Physician",
"LicenseNumber": "M5820",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}