| NPI | 1689701161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI KREST HAMONS GARZA Owner 210-349-9837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX dt06530) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX dt06530) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |