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1952020687 NPI number — OUR LADY OF THE LAKE UNIVERSITY SAN ANTONIO

NPI Number: 1952020687
Health Care Provider/Practitioner: OUR LADY OF THE LAKE UNIVERSITY SAN ANTONIO

Information about “1952020687” NPI (OUR LADY OF THE LAKE UNIVERSITY SAN ANTONIO) exists in 1952020687 in HTML format HTML  |  1952020687 in plain Text format TXT  |  1952020687 in PDF (Portable Document Format) PDF  |  1952020687 in an XML format XML  formats.

NPI Number : 1952020687 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952020687",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "OUR LADY OF THE LAKE UNIVERSITY SAN A",
    "ParentOrgTIN": null,
    "OrgName": "OUR LADY OF THE LAKE UNIVERSITY SAN ANTONIO",
    "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": "WOOLFOLK SCHOOL OF COMMUNCATION SCIENCES AND DISORDERS",
    "SecondLineMailingAddress": "411 SW 24TH ST",
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78207",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-431-3938",
    "MailingAddressFaxNumber": "210-434-9360",
    "FirstLinePracticeLocationAddress": "5210 THOUSAND OAKS DR",
    "SecondLinePracticeLocationAddress": "SUITE 1246",
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78233",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-436-8050",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/25/2022",
    "LastUpdateDate": "11/15/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SOLOMON-RICE",
    "AuthorizedOfficialFirstName": "PATTI",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "SCHOOL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D",
    "AuthorizedOfficialTelephoneNumber": "210-528-6772",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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