| NPI | 1093170383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CARTER Registered Dietitian 940-232-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX DT84083) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2018-07-16 |