NPI Code Detail JSON Logo

1912517426 NPI number — MED CURE CLINIC LLC

NPI Number: 1912517426
Health Care Provider/Practitioner: MED CURE CLINIC LLC

Information about “1912517426” NPI (MED CURE CLINIC LLC) exists in 1912517426 in HTML format HTML  |  1912517426 in plain Text format TXT  |  1912517426 in PDF (Portable Document Format) PDF  |  1912517426 in an XML format XML  formats.

NPI Number : 1912517426 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912517426",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MED CURE CLINIC 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": "6237 HIGHWAY 6 S STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77083-1681",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-400-2048",
    "MailingAddressFaxNumber": "832-400-2049",
    "FirstLinePracticeLocationAddress": "6237 HIGHWAY 6 S STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77083-1681",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-400-2048",
    "PracticeLocationAddressFaxNumber": "832-400-2049",
    "EnumerationDate": "08/10/2020",
    "LastUpdateDate": "12/17/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YISA",
    "AuthorizedOfficialFirstName": "DEBORAH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP-BC",
    "AuthorizedOfficialTelephoneNumber": "346-220-3534",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QA0005X",
          "TaxonomyName": "Ambulatory Family Planning Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QF0400X",
          "TaxonomyName": "Federally Qualified Health Center (FQHC)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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