NPI | 1720211956 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN MAY MCKINNEY Owner/Provider 903-918-0120 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT04301) |
Enumeration Date | 2009-09-04 |
Last Update Date | 2024-10-28 |