| NPI | 1659435683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL GRADY Administrator 214-372-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 114571) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2011-10-04 |