NPI | 1558526129 |
---|---|
Entity Type | Organization |
Authorized Contact | JANELLE MARKS Front Office 830-249-2045 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 15320) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2008-07-23 |