| NPI | 1770869455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKMAN A. SANUSI Owner 361-688-4259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX N7341) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |