| NPI | 1043470461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SHEWMAKER Co Owner, Dietitian 956-966-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX DTO6832) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |