| NPI | 1275004970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED ANDREW MORT Clinical Nurse Specialist, Ap RN 210-488-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |