{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "NOE R. OLVERA MD PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2705 HOSPITAL DR",
"SecondLineMailingAddress": "SUITE 210",
"MailingAddressCityName": "VICTORIA",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77901-5775",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2705 HOSPITAL DR",
"SecondLinePracticeLocationAddress": "SUITE 210",
"PracticeLocationAddressCityName": "VICTORIA",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "520-979-7296",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/09/2008",
"LastUpdateDate": "06/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OLVERA",
"AuthorizedOfficialFirstName": "NOE",
"AuthorizedOfficialMiddleName": "RICHARD",
"AuthorizedOfficialTitle": "RHEUMATOLOGIST",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "520-979-7296",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "M8887",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}