| NPI | 1619332384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA FAY SPARKMAN President 512-257-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT00782) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |