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1578635892 NPI number — TEXAS HILL COUNTRY ANESTHESIA PA

NPI Number: 1578635892
Health Care Provider/Practitioner: TEXAS HILL COUNTRY ANESTHESIA PA

Information about “1578635892” NPI (TEXAS HILL COUNTRY ANESTHESIA PA) exists in 1578635892 in HTML format HTML  |  1578635892 in plain Text format TXT  |  1578635892 in PDF (Portable Document Format) PDF  |  1578635892 in an XML format XML  formats.

NPI Number : 1578635892 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578635892",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TEXAS HILL COUNTRY ANESTHESIA PA",
    "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": "PO BOX 141456",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78714",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-225-6345",
    "MailingAddressFaxNumber": "512-692-5205",
    "FirstLinePracticeLocationAddress": "7900 FM 1826",
    "SecondLinePracticeLocationAddress": "SETON SOUTHWEST",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78737",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-324-9808",
    "PracticeLocationAddressFaxNumber": "512-324-9086",
    "EnumerationDate": "11/14/2006",
    "LastUpdateDate": "02/14/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHAMPAGNE-MILLER",
    "AuthorizedOfficialFirstName": "SUSAN",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "ADMIN ASST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "512-225-6345",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "L1048",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "24332",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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