NPI Code Detail JSON Logo

1174948541 NPI number — TELLUS HEALTHCARE GROUP INC.

NPI Number: 1174948541
Health Care Provider/Practitioner: TELLUS HEALTHCARE GROUP INC.

Information about “1174948541” NPI (TELLUS HEALTHCARE GROUP INC.) exists in 1174948541 in HTML format HTML  |  1174948541 in plain Text format TXT  |  1174948541 in PDF (Portable Document Format) PDF  |  1174948541 in an XML format XML  formats.

NPI Number : 1174948541 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174948541",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TELLUS HEALTHCARE GROUP INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7111 HARWIN DR",
    "SecondLineMailingAddress": "SUITE # 125C",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77036-2129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-831-5405",
    "MailingAddressFaxNumber": "832-831-5423",
    "FirstLinePracticeLocationAddress": "7111 HARWIN DR",
    "SecondLinePracticeLocationAddress": "SUITE # 125C",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77036-2129",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-831-5405",
    "PracticeLocationAddressFaxNumber": "832-831-5423",
    "EnumerationDate": "02/21/2014",
    "LastUpdateDate": "02/21/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TURLEY",
    "AuthorizedOfficialFirstName": "ANDREW",
    "AuthorizedOfficialMiddleName": "J.",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "832-831-5405",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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