| NPI | 1477806271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA ANN FLAKES Owner 713-631-3817 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 44131731) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |