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1639811581 NPI number — BROTHERS DME LLC

NPI Number: 1639811581
Health Care Provider/Practitioner: BROTHERS DME LLC

Information about “1639811581” NPI (BROTHERS DME LLC) exists in 1639811581 in HTML format HTML  |  1639811581 in plain Text format TXT  |  1639811581 in PDF (Portable Document Format) PDF  |  1639811581 in an XML format XML  formats.

NPI Number : 1639811581 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639811581",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BROTHERS DME LLC",
    "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": "5829 W SAM HOUSTON PKWY N STE 706",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77041-4740",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-598-2694",
    "MailingAddressFaxNumber": "832-598-2940",
    "FirstLinePracticeLocationAddress": "5829 W SAM HOUSTON PKWY N STE 706",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77041-4740",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-598-2694",
    "PracticeLocationAddressFaxNumber": "832-598-2940",
    "EnumerationDate": "04/11/2022",
    "LastUpdateDate": "11/17/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEAVITT",
    "AuthorizedOfficialFirstName": "INGRID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "832-598-2694",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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