| NPI | 1851666218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL FASHE Vice President 713-640-5559 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |