{
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"OrgName": "ALPINE PHYSICIAN PARTNERS, LLC",
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"FirstLineMailingAddress": "469 S CLAY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KIRKWOOD",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63122-5807",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-712-0261",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "502 S CLOSNER BLVD",
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"PracticeLocationAddressCityName": "EDINBURG",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78539-4660",
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"PracticeLocationAddressTelephoneNumber": "659-213-0040",
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"EnumerationDate": "02/01/2022",
"LastUpdateDate": "02/01/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WING",
"AuthorizedOfficialFirstName": "CHRISTOPHER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "562-810-1948",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}