NPI Code Detail JSON Logo

1306220009 NPI number — GUY WAYNE NELSON JR.

NPI Number: 1306220009
Health Care Provider/Practitioner: GUY WAYNE NELSON JR.

Information about “1306220009” NPI (GUY WAYNE NELSON JR.) exists in 1306220009 in HTML format HTML  |  1306220009 in plain Text format TXT  |  1306220009 in PDF (Portable Document Format) PDF  |  1306220009 in an XML format XML  formats.

NPI Number : 1306220009 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306220009",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "GUY",
    "MiddleName": "WAYNE",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 8074",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77508-8074",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-332-2626",
    "MailingAddressFaxNumber": "281-332-7272",
    "FirstLinePracticeLocationAddress": "711 W BAY AREA BLVD STE 602",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEBSTER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77598-4042",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-332-2626",
    "PracticeLocationAddressFaxNumber": "281-332-7272",
    "EnumerationDate": "07/13/2015",
    "LastUpdateDate": "08/13/2020",
    "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": "363LG0600X",
        "TaxonomyName": "Gerontology Nurse Practitioner",
        "LicenseNumber": "AP128206",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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