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1124421979 NPI number — CWP HEALTHCARE OP LLC

NPI Number: 1124421979
Health Care Provider/Practitioner: CWP HEALTHCARE OP LLC

Information about “1124421979” NPI (CWP HEALTHCARE OP LLC) exists in 1124421979 in HTML format HTML  |  1124421979 in plain Text format TXT  |  1124421979 in PDF (Portable Document Format) PDF  |  1124421979 in an XML format XML  formats.

NPI Number : 1124421979 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124421979",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CWP HEALTHCARE OP LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5305 VILLAGE CREEK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75093-4810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-818-7500",
    "MailingAddressFaxNumber": "972-732-6644",
    "FirstLinePracticeLocationAddress": "7441 COFFEE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77033-3455",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-733-9471",
    "PracticeLocationAddressFaxNumber": "713-733-6597",
    "EnumerationDate": "10/07/2014",
    "LastUpdateDate": "10/22/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PUTNAM",
    "AuthorizedOfficialFirstName": "CHARLES",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "972-818-7500",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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