{
"Npi": {
"NPI": "1730246208",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "OO",
"FirstName": "MAUNG",
"MiddleName": "MAUNG",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "721 CLINIC DR",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "TYLER",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75701-2043",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "903-592-6152",
"MailingAddressFaxNumber": "903-526-0629",
"FirstLinePracticeLocationAddress": "115 MEDICAL CIR",
"SecondLinePracticeLocationAddress": "SUITE 106",
"PracticeLocationAddressCityName": "ATHENS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75751-9004",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "903-675-1322",
"PracticeLocationAddressFaxNumber": "903-675-6743",
"EnumerationDate": "01/03/2007",
"LastUpdateDate": "11/17/2016",
"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": "207RH0003X",
"TaxonomyName": "Hematology & Oncology Physician",
"LicenseNumber": "L0890",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}