| NPI | 1851550594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAROTIMI OLANREWAJU ODUBANJO Administrator. 817-784-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX RN LIC. NO 753086) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2008-06-07 |