| NPI | 1639330186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY K HINITT President 210-494-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX G9029) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2009-07-21 |