{
"Npi": {
"NPI": "1871758433",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "2920 SPRING SLEEP CENTER 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": "6225 FM 2920",
"SecondLineMailingAddress": "SUITE 204",
"MailingAddressCityName": "SPRING",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77379-3464",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-378-4707",
"MailingAddressFaxNumber": "281-378-4709",
"FirstLinePracticeLocationAddress": "6225 FM 2920",
"SecondLinePracticeLocationAddress": "SUITE 204",
"PracticeLocationAddressCityName": "SPRING",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77379-3464",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-378-4707",
"PracticeLocationAddressFaxNumber": "281-378-4709",
"EnumerationDate": "07/23/2008",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GORRELA",
"AuthorizedOfficialFirstName": "SUSHMA",
"AuthorizedOfficialMiddleName": "VEERA",
"AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "281-378-4707",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS1200X",
"TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}