| 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 |