{
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"FirstLineMailingAddress": "7035 W TIDWELL RD STE 107",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-791-3295",
"MailingAddressFaxNumber": "832-413-0517",
"FirstLinePracticeLocationAddress": "7015 W TIDWELL RD STE 107",
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"PracticeLocationAddressCityName": "HOUSTON",
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"EnumerationDate": "04/21/2017",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VICTORIAN",
"AuthorizedOfficialFirstName": "TRALYNN",
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"AuthorizedOfficialTitle": "FAMILY NURSE PRACTITIONER",
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"AuthorizedOfficialCredential": "FNP",
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"Taxonomies": {
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}