{
"Npi": {
"NPI": "1548214950",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE CENTER FOR FAMILY MEDICINE,WELLNESS & AESTHETICS P.A.",
"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": "3202 ACORN WOOD WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77059-3174",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-488-8949",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "350 N TEXAS AVE",
"SecondLinePracticeLocationAddress": "SUITE D",
"PracticeLocationAddressCityName": "WEBSTER",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77598-4959",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-827-1973",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/20/2006",
"LastUpdateDate": "05/07/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TRIPATHY",
"AuthorizedOfficialFirstName": "ASHOK",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "281-235-8348",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "H8554",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}