{
"Npi": {
"NPI": "1952675613",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PRIO-CARE",
"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": "105 RIDGE VIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOERNE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78006-6414",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "210-724-7217",
"MailingAddressFaxNumber": "830-997-8714",
"FirstLinePracticeLocationAddress": "405 S WASHINGTON ST # 306",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FREDERICKSBURG",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78624-4636",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "830-460-1000",
"PracticeLocationAddressFaxNumber": "830-997-8714",
"EnumerationDate": "02/28/2012",
"LastUpdateDate": "02/28/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COOK",
"AuthorizedOfficialFirstName": "ADRIAN",
"AuthorizedOfficialMiddleName": "GLENN",
"AuthorizedOfficialTitle": "COORDINATOR / PARTNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "830-385-5966",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "1000771",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}