| NPI | 1851671630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHONDA DUNN Q. A. Manager 281-506-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 27-3941611) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |