{
"Npi": {
"NPI": "1861948309",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOUTH TEXAS SLEEP SERVICES, L.L.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1321 FLORIDA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORPUS CHRISTI",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78415-4313",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "276-608-6807",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3333 N FOSTER MALDONADO BLVD",
"SecondLinePracticeLocationAddress": "2ND FLOOR",
"PracticeLocationAddressCityName": "EAGLE PASS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78852-5893",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "276-608-6807",
"PracticeLocationAddressFaxNumber": "877-850-4665",
"EnumerationDate": "08/25/2016",
"LastUpdateDate": "08/25/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SOLIZ-DISHMAN",
"AuthorizedOfficialFirstName": "MONICA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/ DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "276-608-6807",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "291U00000X",
"TaxonomyName": "Clinical Medical Laboratory",
"LicenseNumber": null,
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}