| NPI | 1558698274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LINDA GREEN Compliance Officer 210-949-4153 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 11494) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |