| Name | Description | Type | Additional information |
|---|---|---|---|
| pstProviderName | string |
None. |
|
| pstAddress | string |
None. |
|
| pstCity | string |
None. |
|
| pstState | string |
None. |
|
| pstPostalCode | string |
None. |
|
| pstProviderType | string |
None. |
|
| pstCardNo | string |
None. |
|
| pstP24Hr | string |
None. |
|
| pstSpeciality | string |
None. |
