| NPI | 1568613438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARNYA WALKER Regional Director 832-654-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 302R00000X) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |