{
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"FirstLineMailingAddress": "50 BRIAR HOLLOW LN STE 300E",
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"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "1485 FM 1960 BYPASS RD E STE 360",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUMBLE",
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"EnumerationDate": "02/26/2018",
"LastUpdateDate": "01/03/2019",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GYER",
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"AuthorizedOfficialTelephoneNumber": "832-884-8980",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QP3300X",
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},
{
"TaxonomyCode": "208VP0000X",
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}
]
},
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}