{
"Npi": {
"NPI": "1518149772",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "UNIGLOBE MEDICAL SUPPLY",
"ParentOrgTIN": null,
"OrgName": "UNIGLOBE HEALTH SERVICES",
"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": "3939 E HIGHWAY 80 STE 168",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MESQUITE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75150-8105",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-613-8400",
"MailingAddressFaxNumber": "972-613-8406",
"FirstLinePracticeLocationAddress": "3939 E HIGHWAY 80 STE 168",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MESQUITE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75150-8105",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-613-8400",
"PracticeLocationAddressFaxNumber": "972-613-8406",
"EnumerationDate": "11/29/2007",
"LastUpdateDate": "01/15/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OKORIE",
"AuthorizedOfficialFirstName": "PIUS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "972-613-8400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BC3200X",
"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": "0066402",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}