| NPI | 1003105404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNITA J WEBB Chief Executive Officer 972-637-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2013-04-12 |