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1275904757 NPI number — MARIA LISING-PHAM I MS, ATP

NPI Number: 1275904757
Health Care Provider/Practitioner: MARIA LISING-PHAM I MS, ATP

Information about “1275904757” NPI (MARIA LISING-PHAM I MS, ATP) exists in 1275904757 in HTML format HTML  |  1275904757 in plain Text format TXT  |  1275904757 in PDF (Portable Document Format) PDF  |  1275904757 in an XML format XML  formats.

NPI Number : 1275904757 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275904757",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LISING-PHAM",
    "FirstName": "MARIA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": "I",
    "Credential": "MS, ATP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10518 KIPP WAY DR",
    "SecondLineMailingAddress": "UNIT D",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77099-2400",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-270-4936",
    "MailingAddressFaxNumber": "713-270-0343",
    "FirstLinePracticeLocationAddress": "10518 KIPP WAY DR",
    "SecondLinePracticeLocationAddress": "UNIT D",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77099-2400",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-270-4936",
    "PracticeLocationAddressFaxNumber": "713-270-0343",
    "EnumerationDate": "10/09/2015",
    "LastUpdateDate": "02/13/2026",
    "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": "225CA2400X",
        "TaxonomyName": "Assistive Technology Practitioner Rehabilitation Counselor",
        "LicenseNumber": "85924",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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