{
"Npi": {
"NPI": "1447445887",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FRED HEALTH CARE P L L C",
"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 337",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FRED",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77616-0337",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "409-980-9457",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "20290 FM 92",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRED",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77616-0337",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "409-980-9457",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/10/2007",
"LastUpdateDate": "03/31/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEST",
"AuthorizedOfficialFirstName": "KIM",
"AuthorizedOfficialMiddleName": "DONALD",
"AuthorizedOfficialTitle": "P.A. MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "P.A.",
"AuthorizedOfficialTelephoneNumber": "409-429-9494",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": "PA 01322",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}