NPI Code Detail JSON Logo

1619450038 NPI number — MARIA CORAZON BATUCAN GARCIA

NPI Number: 1619450038
Health Care Provider/Practitioner: MARIA CORAZON BATUCAN GARCIA

Information about “1619450038” NPI (MARIA CORAZON BATUCAN GARCIA) exists in 1619450038 in HTML format HTML  |  1619450038 in plain Text format TXT  |  1619450038 in PDF (Portable Document Format) PDF  |  1619450038 in an XML format XML  formats.

NPI Number : 1619450038 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619450038",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARCIA",
    "FirstName": "MARIA CORAZON",
    "MiddleName": "BATUCAN",
    "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": "3611 PONTIAC AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUBBOCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79407-1823",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-283-8283",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3710 4TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUBBOCK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79415-5346",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-763-4455",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/11/2018",
    "LastUpdateDate": "03/17/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": "2102470",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "1315933",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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