| NPI | 1609275858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICOLE REYES Co Owner 512-547-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| 174N00000X Lactation Consultant, Non-RN | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2024-06-17 |