NPI Code Detail JSON Logo

1295482636 NPI number — ELVIS GUEVARA-WILLIAMS

NPI Number: 1295482636
Health Care Provider/Practitioner: ELVIS GUEVARA-WILLIAMS

Information about “1295482636” NPI (ELVIS GUEVARA-WILLIAMS) exists in 1295482636 in HTML format HTML  |  1295482636 in plain Text format TXT  |  1295482636 in PDF (Portable Document Format) PDF  |  1295482636 in an XML format XML  formats.

NPI Number : 1295482636 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295482636",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUEVARA-WILLIAMS",
    "FirstName": "ELVIS",
    "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": "400 VIANNEY WAY # B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EL PASO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79912-7274",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "915-258-8259",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4815 ALAMEDA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL PASO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79905-2705",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "915-544-1200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2022",
    "LastUpdateDate": "03/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "932212",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "1088586",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.