| NPI | 1194068734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WALKER Owner 479-442-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AR A003800) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |