{"npi":"1457574006","type":"NPI-2","status":"active","name":{"display":"Greater Gulf Health Plan, LLC","other":[],"organization_name":"GREATER GULF HEALTH PLAN, LLC","authorised_official":"Lawrence Wedekind"},"specialty":{"primary_taxonomy":"208D00000X","primary_taxonomy_description":"General Practice","slug":"general-practice","schema_org_specialty":"PrimaryCare","all":[{"code":"208D00000X","description":"General Practice","primary":true,"state":"TX","license":"01486663"}]},"addresses":[{"purpose":"LOCATION","street_1":"260 N SAM HOUSTON PKWY E STE 220","city":"HOUSTON","state":"TX","postal_code":"770602022","country_code":"US","phone":"2814476800","fax":"2814476802"},{"purpose":"MAILING","street_1":"260 N SAM HOUSTON PKWY E","city":"HOUSTON","state":"TX","postal_code":"770602018","country_code":"US","street_2":"SUITE 220","phone":"2814476800","fax":"2814476802"}],"license":{"state":"TX","number":"01486663"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"176768301","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"176768302","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"00690K","state":"TX","issuer":"BCBS ID"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-11","last_updated":"2008-06-18","_meta":{"source":"NPPES","snapshot_date":"2008-06-18","doc_url":"https://findmynpi.com/api"}}