| NPI | 1346665429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMAR MATA Contractor 956-639-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 33488) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: TX 33488) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |