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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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