NPI Code Detail JSON Logo

1659987022 NPI number — SPECIALISTS IN GERIATRIC AND PALLIATIVE CARE MEDICINE PLLC

NPI Number: 1659987022
Health Care Provider/Practitioner: SPECIALISTS IN GERIATRIC AND PALLIATIVE CARE MEDICINE PLLC

Information about “1659987022” NPI (SPECIALISTS IN GERIATRIC AND PALLIATIVE CARE MEDICINE PLLC) exists in 1659987022 in HTML format HTML  |  1659987022 in plain Text format TXT  |  1659987022 in PDF (Portable Document Format) PDF  |  1659987022 in an XML format XML  formats.

NPI Number : 1659987022 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659987022",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPECIALISTS IN GERIATRIC AND PALLIATIVE CARE MEDICINE PLLC",
    "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": "8198 WALNUT HILL LANE",
    "SecondLineMailingAddress": "JACKSON BLDG SUITE 100",
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75231",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8210 WALNUT HILL LN STE 310",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75231-4419",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-913-2850",
    "PracticeLocationAddressFaxNumber": "972-913-2975",
    "EnumerationDate": "09/21/2020",
    "LastUpdateDate": "09/23/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AKBAR",
    "AuthorizedOfficialFirstName": "TAZEEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "469-854-3546",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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