| NPI | 1245597558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STEPHENSON Hendrick Provider Network Admin 325-670-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 647404) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX 647404) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |