{"npi":"1689750192","type":"NPI-2","status":"active","name":{"display":"Internal Medicine Clinic Of Houma","other":[],"organization_name":"INTERNAL MEDICINE CLINIC OF HOUMA","authorised_official":"Russell Henry"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"LA","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"911 VERRET ST","city":"HOUMA","state":"LA","postal_code":"703604637","country_code":"US","phone":"9858767388"},{"purpose":"MAILING","street_1":"911 VERRET ST","city":"HOUMA","state":"LA","postal_code":"703604637","country_code":"US","phone":"9858767388"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1796395","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040330000471","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"LA","pac_id":"0042202335"}]},"enumeration_date":"2006-10-27","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}