| NPI | 1326346412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP D TIDWELL Registered Respiratory Therapist 731-589-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics (Licence: TN RRT0000000395) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2013-06-12 |