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1073826806 NPI number — ERIK WILLIAMS HASELHORST O.D.

NPI Number: 1073826806
Health Care Provider/Practitioner: ERIK WILLIAMS HASELHORST O.D.

Information about “1073826806” NPI (ERIK WILLIAMS HASELHORST O.D.) exists in 1073826806 in HTML format HTML  |  1073826806 in plain Text format TXT  |  1073826806 in PDF (Portable Document Format) PDF  |  1073826806 in an XML format XML  formats.

NPI Number : 1073826806 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073826806",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HASELHORST",
    "FirstName": "ERIK",
    "MiddleName": "WILLIAMS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7709 MANCHACA RD",
    "SecondLineMailingAddress": "UNIT 29",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78745-6026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-454-9852",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7709 MENCHACA RD",
    "SecondLinePracticeLocationAddress": "UNIT 29",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78745-6026",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-454-9852",
    "PracticeLocationAddressFaxNumber": "512-253-7928",
    "EnumerationDate": "07/21/2010",
    "LastUpdateDate": "05/11/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "7632T",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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