| NPI | 1689851016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER ELIJAH JACKSON Director Program Manager 281-687-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |