Individual
JOSHUA SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
1545 CAPITAL DR STE 105, CARROLLTON, TX 75006-3668
(972) 434-1700
(972) 221-0099
Mailing address
3200 RIFLE GAP RD APT 1126, FRISCO, TX 75034-6487
(972) 522-8559
(469) 777-3447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12094967
DRIVER'S LICENSE#
TX
Enumeration date
11/13/2014
Last updated
11/16/2014
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