NPI Code Detail JSON Logo

1164938270 NPI number — TEAM MUSGROVE SPORTS AGENCY DBA ON TIME WITH CARE LOGISTICS

NPI Number: 1164938270
Health Care Provider/Practitioner: TEAM MUSGROVE SPORTS AGENCY DBA ON TIME WITH CARE LOGISTICS

Information about “1164938270” NPI (TEAM MUSGROVE SPORTS AGENCY DBA ON TIME WITH CARE LOGISTICS) exists in 1164938270 in HTML format HTML  |  1164938270 in plain Text format TXT  |  1164938270 in PDF (Portable Document Format) PDF  |  1164938270 in an XML format XML  formats.

NPI Number : 1164938270 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164938270",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TEAM MUSGROVE SPORTS AGENCY DBA ON TIME WITH CARE LOGISTICS",
    "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": "PO BOX 132274",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75313-2274",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-900-3116",
    "MailingAddressFaxNumber": "972-364-1235",
    "FirstLinePracticeLocationAddress": "3131 MCKINNEY AVE STE 600",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75204-2456",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-900-3116",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/27/2017",
    "LastUpdateDate": "12/27/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MUSGROVE",
    "AuthorizedOfficialFirstName": "WALTER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "III",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "972-900-3116",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "343900000X",
        "TaxonomyName": "Non-emergency Medical Transport (VAN)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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