| NPI | 1720401342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA MULDER Owner/Director 832-454-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |