{
"Npi": {
"NPI": "1528314804",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DALLAS LIFECARE EMS ,LLC",
"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": "3228 SOUTHERN DR",
"SecondLineMailingAddress": "203A",
"MailingAddressCityName": "GARLAND",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75043-1579",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-271-1105",
"MailingAddressFaxNumber": "972-271-1125",
"FirstLinePracticeLocationAddress": "3228 SOUTHERN DR",
"SecondLinePracticeLocationAddress": "203A",
"PracticeLocationAddressCityName": "GARLAND",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75043-1579",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-271-1105",
"PracticeLocationAddressFaxNumber": "972-271-1125",
"EnumerationDate": "07/24/2012",
"LastUpdateDate": "07/24/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OZONOH",
"AuthorizedOfficialFirstName": "THEOPHILUS",
"AuthorizedOfficialMiddleName": "CHIBUZOR",
"AuthorizedOfficialTitle": "ADMINITRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "972-607-0344",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "1000822",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}