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 |