Organization
SPARKMAN NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA FAY SPARKMAN MA, RDN,LD (PRESIDENT)
(512) 257-0898
Entity
Organization
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD, SUITE L4, AUSTIN, TX 78759-8661
(512) 257-0898
(512) 342-1043
Mailing address
4131 SPICEWOOD SPRINGS RD, SUITE L4, AUSTIN, TX 78759-8661
(512) 257-0898
(512) 342-1043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00782
TX
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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