| NPI | 1457697260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA G BETANCOURT Owner 956-546-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: TX DT05843) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2013-04-23 |