Organization
PHYSICIAN NETWORK ASSOCIATION
Active
Organization
PHYSICIAN NETWORK ASSOCIATION
Active
Parent organization
SAME AS
Other names
n/a
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAME AS
Authorized official
MR. TREY FARTHING N/A (PRESIDENT OF P.N.A)
18067991326
Entity
Organization
Contact information
Practice address
4036 DUMONT DR, SAME AS ABOVE, ODESSA, TX 79762-7132
(432) 368-2058
Mailing address
4036 DUMONT DR, SAME AS ABOVE, ODESSA, TX 79762-7132
(432) 368-2058
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PAO1083
TX
Other
Enumeration date
02/01/2008
Last updated
09/06/2023
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