{"npi":"1932582913","type":"NPI-2","status":"active","name":{"display":"Bizban LLC","other":[],"organization_name":"BIZBAN LLC","authorised_official":"Laurie Bizzell"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"TX","license":"30855"}]},"addresses":[{"purpose":"LOCATION","street_1":"1162 E SONTERRA BLVD","city":"SAN ANTONIO","state":"TX","postal_code":"782584047","country_code":"US","street_2":"SUITE 130","phone":"2106434393","fax":"2104081096"},{"purpose":"MAILING","street_1":"1162 E SONTERRA BLVD","city":"SAN ANTONIO","state":"TX","postal_code":"782584047","country_code":"US","street_2":"SUITE 130","phone":"2106434393","fax":"2104081096"}],"license":{"state":"TX","number":"30855"},"identifiers":[{"type_code":"01","label":"Other","value":"30855","state":"TX","issuer":"LICENSE NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20151028000396","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"5698084960"}]},"enumeration_date":"2015-07-08","last_updated":"2015-07-08","_meta":{"source":"NPPES","snapshot_date":"2015-07-08","doc_url":"https://findmynpi.com/api"}}