NPI Code Detail JSON Logo

1700425055 NPI number — GOLDFISH GROUP INC.

NPI Number: 1700425055
Health Care Provider/Practitioner: GOLDFISH GROUP INC.

Information about “1700425055” NPI (GOLDFISH GROUP INC.) exists in 1700425055 in HTML format HTML  |  1700425055 in plain Text format TXT  |  1700425055 in PDF (Portable Document Format) PDF  |  1700425055 in an XML format XML  formats.

NPI Number : 1700425055 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700425055",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GOLDFISH GROUP INC.",
    "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": "13251 FOWLER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRISCO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75035-2374",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-510-2651",
    "MailingAddressFaxNumber": "844-258-4963",
    "FirstLinePracticeLocationAddress": "6735 SALT CEDAR WAY, BUILDING 1",
    "SecondLinePracticeLocationAddress": "1039-300",
    "PracticeLocationAddressCityName": "FRISCO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75034",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-510-2651",
    "PracticeLocationAddressFaxNumber": "844-258-4963",
    "EnumerationDate": "01/04/2020",
    "LastUpdateDate": "01/18/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HILAL",
    "AuthorizedOfficialFirstName": "AMR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "M.D.",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "702-510-2651",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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