| NPI | 1245665454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DIANE PALYA Account Manager 940-665-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 6659) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |