| NPI | 1649703224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAC VU President 832-814-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX J6791) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |