NPI Code Detail JSON Logo

1639987795 NPI number — MEDX GLOBAL CLINICAL ADVISORS

NPI Number: 1639987795
Health Care Provider/Practitioner: MEDX GLOBAL CLINICAL ADVISORS

Information about “1639987795” NPI (MEDX GLOBAL CLINICAL ADVISORS) exists in 1639987795 in HTML format HTML  |  1639987795 in plain Text format TXT  |  1639987795 in PDF (Portable Document Format) PDF  |  1639987795 in an XML format XML  formats.

NPI Number : 1639987795 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639987795",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEDX GLOBAL CLINICAL ADVISORS",
    "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": "1911 BAGBY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77002-8594",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-240-5893",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4140 SOUTHWEST FWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77027-7311",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-240-5893",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/20/2024",
    "LastUpdateDate": "12/20/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VAUGHN",
    "AuthorizedOfficialFirstName": "TOMMY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF NURSE EXECUTIVE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "903-240-5893",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251B00000X",
        "TaxonomyName": "Case Management Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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