| NPI | 1174906119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE NELLY ATTRAH Supervising Nurse 972-572-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |