| NPI | 1760886287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN LUTZ President/Owner 931-347-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 018068) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |