| NPI | 1609184712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL O NWADEYI Administrator 214-315-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX PA04693) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |