| NPI | 1053740472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CONAL O'NEAL CEO 214-475-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 36803681) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: TX 36803682) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |