| NPI | 1417969247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY CRUZ Director 830-734-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX LBSW #24298) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-06-17 |