| 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 |