| NPI | 1528823440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DAVID WYATT Registered Dietitian 512-423-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |