| NPI | 1770761769 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | TREY FARTHING President Of P.N.A 1806-799-1326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX PAO1083) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2023-09-06 |