| NPI | 1164962973 |
|---|---|
| Other Name | JOSHUA D GARREN |
| Entity Type | Organization |
| Authorized Contact | JOSHUA D GARREN Owner 469-364-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X (Licence: TX Q6413) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-05-11 |