{
"Npi": {
"NPI": "1215638440",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "BEAN FAMILY ENTERPRISES, INC.",
"ParentOrgTIN": null,
"OrgName": "WILBEA MEDIAL EQUIPMENT LLC",
"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": "1330 SHREVEPORT BARKSDALE HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHREVEPORT",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71105-2408",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-746-6288",
"MailingAddressFaxNumber": "318-746-7911",
"FirstLinePracticeLocationAddress": "2060 HOWARD LOOP",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SALADO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76571-6386",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-674-4081",
"PracticeLocationAddressFaxNumber": "254-939-2700",
"EnumerationDate": "03/14/2023",
"LastUpdateDate": "02/26/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRIESLAND",
"AuthorizedOfficialFirstName": "CLAUDE",
"AuthorizedOfficialMiddleName": "N",
"AuthorizedOfficialTitle": "PRESIDENT/CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "318-746-6288",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}