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1659873214 NPI number — HOUSTON LIFE VENTURES, LLC

NPI Number: 1659873214
Health Care Provider/Practitioner: HOUSTON LIFE VENTURES, LLC

Information about “1659873214” NPI (HOUSTON LIFE VENTURES, LLC) exists in 1659873214 in HTML format HTML  |  1659873214 in plain Text format TXT  |  1659873214 in PDF (Portable Document Format) PDF  |  1659873214 in an XML format XML  formats.

NPI Number : 1659873214 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659873214",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOUSTON LIFE VENTURES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12865 CAPRICORN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STAFFORD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77477-3915",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-201-2805",
    "MailingAddressFaxNumber": "281-201-2826",
    "FirstLinePracticeLocationAddress": "12865 CAPRICORN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STAFFORD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77477",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-201-2805",
    "PracticeLocationAddressFaxNumber": "281-201-2826",
    "EnumerationDate": "02/28/2018",
    "LastUpdateDate": "02/17/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOUSTON",
    "AuthorizedOfficialFirstName": "TERENCE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHARMACIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHARMD",
    "AuthorizedOfficialTelephoneNumber": "281-201-2805",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251F00000X",
          "TaxonomyName": "Home Infusion Agency",
          "LicenseNumber": "31959",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336H0001X",
          "TaxonomyName": "Home Infusion Therapy Pharmacy",
          "LicenseNumber": "31959",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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