| NPI | 1760549067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY N. UDOFIA Owner 903-533-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 0800514560) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |