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1316929888 NPI number — GAIL TYRIA HOUSTON PA-C

NPI Number: 1316929888
Health Care Provider/Practitioner: GAIL TYRIA HOUSTON PA-C

Information about “1316929888” NPI (GAIL TYRIA HOUSTON PA-C) exists in 1316929888 in HTML format HTML  |  1316929888 in plain Text format TXT  |  1316929888 in PDF (Portable Document Format) PDF  |  1316929888 in an XML format XML  formats.

NPI Number : 1316929888 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316929888",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOUSTON",
    "FirstName": "GAIL",
    "MiddleName": "TYRIA",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2412 MOUNTAIN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JOPPA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21085-2338",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-262-4305",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "210 GRANT AVE",
    "SecondLinePracticeLocationAddress": "ROOM 1809",
    "PracticeLocationAddressCityName": "FORT LEAVENWORTH",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66027-1231",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-758-3791",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/18/2005",
    "LastUpdateDate": "07/08/2007",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "C100031",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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