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1396458477 NPI number — GALLUS DETOX HOUSTON PLLC

NPI Number: 1396458477
Health Care Provider/Practitioner: GALLUS DETOX HOUSTON PLLC

Information about “1396458477” NPI (GALLUS DETOX HOUSTON PLLC) exists in 1396458477 in HTML format HTML  |  1396458477 in plain Text format TXT  |  1396458477 in PDF (Portable Document Format) PDF  |  1396458477 in an XML format XML  formats.

NPI Number : 1396458477 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396458477",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GALLUS DETOX HOUSTON PLLC",
    "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": "225 E 16TH AVE STE 1100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80203-1615",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-501-2225",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2490 FM 2920 RD # 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRING",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77388-3417",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "844-548-0199",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/03/2023",
    "LastUpdateDate": "01/03/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARROLL",
    "AuthorizedOfficialFirstName": "GEORGINA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF CLINICAL OPERATIONS",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "928-533-0872",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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