| NPI | 1508104654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEJUMADE ST MATTHEW-DANIELS Owner 409-290-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL DN16856) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |