NPI | 1932488020 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEOLA ANTHONY AMUSAN Internal Medicine Doctor 469-200-4118 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX L1515) |
Enumeration Date | 2011-08-08 |
Last Update Date | 2011-08-08 |