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1790218782 NPI number — AOMS OUTPATIENT SURGERY, PLLC

NPI Number: 1790218782
Health Care Provider/Practitioner: AOMS OUTPATIENT SURGERY, PLLC

Information about “1790218782” NPI (AOMS OUTPATIENT SURGERY, PLLC) exists in 1790218782 in HTML format HTML  |  1790218782 in plain Text format TXT  |  1790218782 in PDF (Portable Document Format) PDF  |  1790218782 in an XML format XML  formats.

NPI Number : 1790218782 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790218782",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AOMS OUTPATIENT SURGERY, 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": "5051 S SONCY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMARILLO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79119-6667",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-353-1055",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5051 S SONCY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AMARILLO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79119-6667",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-353-1055",
    "PracticeLocationAddressFaxNumber": "806-353-7077",
    "EnumerationDate": "04/06/2017",
    "LastUpdateDate": "04/06/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GRAVES",
    "AuthorizedOfficialFirstName": "WILLIAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/DOCTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "806-353-1055",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QS0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery Clinic/Center",
        "LicenseNumber": "21838",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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