{
"Npi": {
"NPI": "1881086486",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PM MANAGEMENT - ROUND ROCK AL LLC",
"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": "600 N PEARL ST",
"SecondLineMailingAddress": "SUITE 1100",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75201-2822",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-252-7600",
"MailingAddressFaxNumber": "214-252-7599",
"FirstLinePracticeLocationAddress": "7230 WYOMING SPRINGS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROUND ROCK",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78681-4319",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "512-765-7733",
"PracticeLocationAddressFaxNumber": "512-218-0073",
"EnumerationDate": "02/19/2015",
"LastUpdateDate": "10/24/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROGERS",
"AuthorizedOfficialFirstName": "WENDI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF RISK MANAGEMENT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "512-340-7829",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}