| NPI | 1275906018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA LEIGH BEENY Owner/Manager 817-798-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 302r00000x) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2016-01-29 |