{
"Npi": {
"NPI": "1699222497",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HASLET URGENT CARE, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1116 BOURLAND RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KELLER",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76248-3929",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-209-4110",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2432 AVONDALE HASLET RD",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "HASLET",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76052-3427",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-992-0748",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/08/2016",
"LastUpdateDate": "09/08/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HERRERA",
"AuthorizedOfficialFirstName": "RODOLFO",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "817-209-4110",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}