NPI Code Detail JSON Logo

1104970136 NPI number — CLAUDE MICHEL OLIVA MD PA

NPI Number: 1104970136
Health Care Provider/Practitioner: CLAUDE MICHEL OLIVA MD PA

Information about “1104970136” NPI (CLAUDE MICHEL OLIVA MD PA) exists in 1104970136 in HTML format HTML  |  1104970136 in plain Text format TXT  |  1104970136 in PDF (Portable Document Format) PDF  |  1104970136 in an XML format XML  formats.

NPI Number : 1104970136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104970136",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OLIVA",
    "FirstName": "CLAUDE",
    "MiddleName": "MICHEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OLIVA",
    "OtherFirstName": "C",
    "OtherMiddleName": "MICHEL",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD PA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 64123",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUBBOCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79464-4123",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-791-3377",
    "MailingAddressFaxNumber": "806-791-3378",
    "FirstLinePracticeLocationAddress": "4404 6TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUBBOCK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79416-4732",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-791-3377",
    "PracticeLocationAddressFaxNumber": "806-791-3378",
    "EnumerationDate": "01/23/2007",
    "LastUpdateDate": "02/13/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208VP0014X",
        "TaxonomyName": "Interventional Pain Medicine Physician",
        "LicenseNumber": "H8299",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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