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1982356374 NPI number — WIZE HEART SERVICES LLC

NPI Number: 1982356374
Health Care Provider/Practitioner: WIZE HEART SERVICES LLC

Information about “1982356374” NPI (WIZE HEART SERVICES LLC) exists in 1982356374 in HTML format HTML  |  1982356374 in plain Text format TXT  |  1982356374 in PDF (Portable Document Format) PDF  |  1982356374 in an XML format XML  formats.

NPI Number : 1982356374 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982356374",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "WIZE HEART SERVICES LLC",
    "ParentOrgTIN": null,
    "OrgName": "WIZE HEART SERVICES LLC",
    "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": "1352 QUEENS BROOK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WORTH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76140-5745",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-439-7544",
    "MailingAddressFaxNumber": "--",
    "FirstLinePracticeLocationAddress": "2305 OAK LANE, BUILDING 4A,",
    "SecondLinePracticeLocationAddress": "SUITE 209",
    "PracticeLocationAddressCityName": "GRAND PRAIRI",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75051",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-439-7544",
    "PracticeLocationAddressFaxNumber": "--",
    "EnumerationDate": "01/26/2022",
    "LastUpdateDate": "01/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "IGWEGBE",
    "AuthorizedOfficialFirstName": "CHIBUDIKE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF OPERATION",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "469-439-7544",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "343800000X",
        "TaxonomyName": "Secured Medical Transport (VAN)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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