{
"Npi": {
"NPI": "1508377730",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AMANDEEP KAUR, M.D., P.A.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 560781",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "THE COLONY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75056-0781",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-978-9721",
"MailingAddressFaxNumber": "469-904-6427",
"FirstLinePracticeLocationAddress": "401 N VALLEY PKWY STE 380",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEWISVILLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75067-3472",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "469-904-6428",
"PracticeLocationAddressFaxNumber": "469-904-6428",
"EnumerationDate": "10/16/2017",
"LastUpdateDate": "06/25/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAUR",
"AuthorizedOfficialFirstName": "AMANDEEP",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "832-978-9721",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "2083P0011X",
"TaxonomyName": "Undersea and Hyperbaric Medicine (Preventive Medicine) Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}