| NPI | 1114119476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON EMAH Chief Executive Officer 713-771-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 8810) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |