| NPI | 1639385891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BLANKS Administrator 903-887-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 007235) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-10-25 |