| NPI | 1225366800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LINDA GREEN Compliance Officer 210-949-4153 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 13159) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |