| NPI | 1962511741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISSE YONAI RICHARDSON Owner 409-938-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 649293) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-05-11 |