| NPI | 1063798452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HELEN JACKSON Owner/Program Manager 832-877-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2011-11-07 |