| NPI | 1730445271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONDRA ROCHELLE HARDEMON CEO 713-434-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 270912557) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |