| NPI | 1558771790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA ANNIE WOOD Owner 512-876-3574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 12578) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-09-15 |