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1386807659 NPI number — MEDCARE CLINC

NPI Number: 1386807659
Health Care Provider/Practitioner: MEDCARE CLINC

Information about “1386807659” NPI (MEDCARE CLINC) exists in 1386807659 in HTML format HTML  |  1386807659 in plain Text format TXT  |  1386807659 in PDF (Portable Document Format) PDF  |  1386807659 in an XML format XML  formats.

NPI Number : 1386807659 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386807659",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEDCARE CLINC",
    "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": "12834 WILLOW CTR STE E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77066-3047",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-893-3656",
    "MailingAddressFaxNumber": "281-896-3464",
    "FirstLinePracticeLocationAddress": "12834 WILLOW CTR STE E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77066-3047",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-893-3656",
    "PracticeLocationAddressFaxNumber": "281-896-3464",
    "EnumerationDate": "07/08/2008",
    "LastUpdateDate": "07/08/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ARENE",
    "AuthorizedOfficialFirstName": "IFEOMA",
    "AuthorizedOfficialMiddleName": "N",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "281-893-3656",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084A0401X",
        "TaxonomyName": "Addiction Medicine (Psychiatry & Neurology) Physician",
        "LicenseNumber": "L5229",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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