| NPI | 1861745895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DOWNING TYLER Owner 210-286-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81152) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |