NPI Code Detail JSON Logo

1871039008 NPI number — 4D MEDICAL CONCEPTS LLC.

NPI Number: 1871039008
Health Care Provider/Practitioner: 4D MEDICAL CONCEPTS LLC.

Information about “1871039008” NPI (4D MEDICAL CONCEPTS LLC.) exists in 1871039008 in HTML format HTML  |  1871039008 in plain Text format TXT  |  1871039008 in PDF (Portable Document Format) PDF  |  1871039008 in an XML format XML  formats.

NPI Number : 1871039008 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871039008",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "4D MEDICAL CONCEPTS 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": "317 WILLOW LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CIBOLO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78108-4298",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-300-3701",
    "MailingAddressFaxNumber": "877-497-6972",
    "FirstLinePracticeLocationAddress": "815 S SAINT MARYS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78205-3408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-300-3701",
    "PracticeLocationAddressFaxNumber": "877-497-6972",
    "EnumerationDate": "01/11/2017",
    "LastUpdateDate": "01/11/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAVILA",
    "AuthorizedOfficialFirstName": "LEONARD",
    "AuthorizedOfficialMiddleName": "ANTHONY",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "210-300-3701",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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