{"npi":"1164547519","type":"NPI-2","status":"active","name":{"display":"Blanco Regional Clinic, P.A.","other":[],"organization_name":"BLANCO REGIONAL CLINIC, P.A.","authorised_official":"John Weaver"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"825 4TH ST","city":"BLANCO","state":"TX","postal_code":"786064913","country_code":"US","phone":"8308335581","fax":"8308334933"},{"purpose":"MAILING","street_1":"PO BOX 1629","city":"BLANCO","state":"TX","postal_code":"786061629","country_code":"US","street_2":"825 FOURTH STREET","phone":"8308335581","fax":"8308334933"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"080001301","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20060406000613","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"6002825882"}]},"enumeration_date":"2007-03-21","last_updated":"2008-06-16","_meta":{"source":"NPPES","snapshot_date":"2008-06-16","doc_url":"https://findmynpi.com/api"}}