{
"Npi": {
"NPI": "1922295989",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PAUL A. LENZ MD PA",
"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": "1474 W PRICE RD STE 7-406",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROWNSVILLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78520-8687",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-633-5369",
"MailingAddressFaxNumber": "877-748-7128",
"FirstLinePracticeLocationAddress": "625 E PRICE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROWNSVILLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78521-4215",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-633-5369",
"PracticeLocationAddressFaxNumber": "877-748-7128",
"EnumerationDate": "10/03/2007",
"LastUpdateDate": "08/08/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LENZ",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "ALBERT",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "956-633-5369",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "J7553",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}