| NPI | 1902274012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG CHISHOLM Owner 972-834-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 65003) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |