| Name | Description | Type | Additional information |
|---|---|---|---|
| memberID | string |
None. |
|
| provID | string |
None. |
|
| name | string |
None. |
|
| address | string |
None. |
|
| city | string |
None. |
|
| state | string |
None. |
|
| zip | string |
None. |
|
| phone | string |
None. |
|
| fax | string |
None. |
|
| string |
None. |
||
| specialty | string |
None. |