NPI | 1457596991 |
---|---|
Entity Type | Organization |
Authorized Contact | LELIA T GAINES President 915-545-2054 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX J4812) |
Enumeration Date | 2008-12-12 |
Last Update Date | 2011-09-13 |