| NPI | 1184097305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEN CHUN TING Owner 915-777-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX AC01668) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |