| NPI | 1700061850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES LUGAR Executive Director 214-695-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 10284) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-06-19 |