| NPI | 1164208849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA M. FORD Registered Dietitian Nutritionist 512-850-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |