NPI | 1841579729 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID M. LAVELY President 800-334-3937 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 28-094478) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2011-08-10 |