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1659447928 NPI number — SANDRA E COLLAZO OD

NPI Number: 1659447928
Health Care Provider/Practitioner: SANDRA E COLLAZO OD

Information about “1659447928” NPI (SANDRA E COLLAZO OD) exists in 1659447928 in HTML format HTML  |  1659447928 in plain Text format TXT  |  1659447928 in PDF (Portable Document Format) PDF  |  1659447928 in an XML format XML  formats.

NPI Number : 1659447928 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659447928",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COLLAZO",
    "FirstName": "SANDRA",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9514 RIVERLAND LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77040-4374",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-827-9800",
    "MailingAddressFaxNumber": "713-827-9808",
    "FirstLinePracticeLocationAddress": "10488 OLD KATY RD",
    "SecondLinePracticeLocationAddress": "A",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77043-5106",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-827-9800",
    "PracticeLocationAddressFaxNumber": "713-827-9808",
    "EnumerationDate": "11/28/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "5109TG",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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