| NPI | 1487059077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITO M ORIG Physician 972-225-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX F8599) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |