| NPI | 1578728374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE JALLOW Manager 214-374-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 121001) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |