NPI Code Detail JSON Logo

1679461255 NPI number — MORGAN TANT GOBER OD

NPI Number: 1679461255
Health Care Provider/Practitioner: MORGAN TANT GOBER OD

Information about “1679461255” NPI (MORGAN TANT GOBER OD) exists in 1679461255 in HTML format HTML  |  1679461255 in plain Text format TXT  |  1679461255 in PDF (Portable Document Format) PDF  |  1679461255 in an XML format XML  formats.

NPI Number : 1679461255 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679461255",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOBER",
    "FirstName": "MORGAN",
    "MiddleName": "TANT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1901 KEMP BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA FALLS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76309-3959",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "940-723-2020",
    "MailingAddressFaxNumber": "940-723-6941",
    "FirstLinePracticeLocationAddress": "1529 HIGHWAY 380 BYP",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAHAM",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76450-2323",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-723-2020",
    "PracticeLocationAddressFaxNumber": "940-549-6295",
    "EnumerationDate": "06/24/2025",
    "LastUpdateDate": "06/24/2025",
    "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": "11404TG",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.