NPI Code Detail JSON Logo

1528799293 NPI number — M QUBE INDEPENDENT PHYSICIAN ASSOCIATION LLC

NPI Number: 1528799293
Health Care Provider/Practitioner: M QUBE INDEPENDENT PHYSICIAN ASSOCIATION LLC

Information about “1528799293” NPI (M QUBE INDEPENDENT PHYSICIAN ASSOCIATION LLC) exists in 1528799293 in HTML format HTML  |  1528799293 in plain Text format TXT  |  1528799293 in PDF (Portable Document Format) PDF  |  1528799293 in an XML format XML  formats.

NPI Number : 1528799293 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528799293",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "M QUBE INDEPENDENT PHYSICIAN ASSOCIATION LLC",
    "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": "1702 FM 1960 BYPASS RD E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUMBLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77338-3916",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-446-7173",
    "MailingAddressFaxNumber": "281-446-3841",
    "FirstLinePracticeLocationAddress": "1702 FM 1960 BYPASS RD E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUMBLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77338-3916",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-446-7173",
    "PracticeLocationAddressFaxNumber": "281-446-3841",
    "EnumerationDate": "06/22/2022",
    "LastUpdateDate": "06/22/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MEHTA",
    "AuthorizedOfficialFirstName": "TEJAS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "281-446-7173",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "302R00000X",
        "TaxonomyName": "Health Maintenance Organization",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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