{
"Npi": {
"NPI": "1679401780",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUNFLOWER EDUCATIONAL EVALUATIONS AND DIAGNOSTICS 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": "416 GRISHAM DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUTTO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78634-4555",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "361-548-6257",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "416 GRISHAM DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUTTO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78634-4555",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "361-548-6257",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/11/2026",
"LastUpdateDate": "05/11/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SAN MIGUEL",
"AuthorizedOfficialFirstName": "CHALEECE",
"AuthorizedOfficialMiddleName": "SAN",
"AuthorizedOfficialTitle": "EDUCATIONAL DIAGNOSTICIAN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "210-863-9852",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2080P0008X",
"TaxonomyName": "Pediatric Neurodevelopmental Disabilities Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}