{
"Npi": {
"NPI": "1568617512",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ABILENE FAMILY HEALTH CARE, 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": "1181 LYTLE WAY",
"SecondLineMailingAddress": "SUITE F",
"MailingAddressCityName": "ABILENE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79602-4299",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "325-701-4818",
"MailingAddressFaxNumber": "325-701-4429",
"FirstLinePracticeLocationAddress": "1933 PINE ST",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "ABILENE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79601-2431",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "325-675-0338",
"PracticeLocationAddressFaxNumber": "325-672-5049",
"EnumerationDate": "11/18/2008",
"LastUpdateDate": "04/27/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCKNIGHT",
"AuthorizedOfficialFirstName": "MAXEY",
"AuthorizedOfficialMiddleName": "DELL",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "325-675-0338",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "F6935",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}