{
"Npi": {
"NPI": "1437340601",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROBERT R MCMINN",
"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": "PO BOX 1043",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CROCKETT",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75835-1043",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "936-687-3242",
"MailingAddressFaxNumber": "936-687-3242",
"FirstLinePracticeLocationAddress": "5300 NORTH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NACOGDOCHES",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75965-1370",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "936-687-3242",
"PracticeLocationAddressFaxNumber": "936-687-3242",
"EnumerationDate": "08/05/2007",
"LastUpdateDate": "08/05/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCMINN",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "TAXONOMY X",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "II",
"AuthorizedOfficialCredential": "CRNA",
"AuthorizedOfficialTelephoneNumber": "936-546-3733",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "511503",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}