Organization
TEXAS INDEPENDENCE HEALTH PLAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVAN DEKOWSKI (CEO/EXECUTIVE DIRECTOR)
(361) 576-0694
Entity
Organization
Contact information
Practice address
1908 N LAURENT ST STE 250, VICTORIA, TX 77901-5417
(361) 576-0694
Mailing address
1908 N LAURENT ST STE 250, VICTORIA, TX 77901-5417
(361) 576-0694
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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