| NPI | 1003934266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R REVIS VP Chief Financial Officer 211-265-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |