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1174086003 NPI number — LUISA M ALZATE

NPI Number: 1174086003
Health Care Provider/Practitioner: LUISA M ALZATE

Information about “1174086003” NPI (LUISA M ALZATE) exists in 1174086003 in HTML format HTML  |  1174086003 in plain Text format TXT  |  1174086003 in PDF (Portable Document Format) PDF  |  1174086003 in an XML format XML  formats.

NPI Number : 1174086003 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174086003",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALZATE",
    "FirstName": "LUISA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHOPRA",
    "OtherFirstName": "LUISA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "708 LITTLE JOHN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77024-3608",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-741-8607",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6901 BERTNER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77030-3901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-741-8607",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2019",
    "LastUpdateDate": "04/08/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163WG0100X",
        "TaxonomyName": "Gastroenterology Registered Nurse",
        "LicenseNumber": "859750",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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