{
"Npi": {
"NPI": "1467644559",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALLIANCE EMERGENCY MEDICAL SERVICES 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": "808 S SHARY RD",
"SecondLineMailingAddress": "STE 5 PMB# 186",
"MailingAddressCityName": "MISSION",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78572-8568",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-583-7447",
"MailingAddressFaxNumber": "956-583-7455",
"FirstLinePracticeLocationAddress": "1814 VICTORIA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MISSION",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78572-6403",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-683-7444",
"PracticeLocationAddressFaxNumber": "956-683-7449",
"EnumerationDate": "08/13/2007",
"LastUpdateDate": "06/21/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CORDERO",
"AuthorizedOfficialFirstName": "GUADALUPE",
"AuthorizedOfficialMiddleName": "DEJESUS",
"AuthorizedOfficialTitle": "ASSITANT DIRECTOR OF OPERATIONS",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "956-240-2315",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "1000348",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}