| NPI | 1104490556 |
|---|---|
| Former Legal Business Name | TTUHSC MANAGED CARE |
| Entity Type | Organization |
| Authorized Contact | WILL RODRIGUEZ Managed Care Executive Director 806-743-3280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-24 |