| NPI | 1407035983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS L YOUNG Owner 214-942-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 121668) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |