| Doctor Name: | JOSHUA SALLEY |
| NPI Number: | 1194121491 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ATP |
| License Number: | |
| Business Practice Address: | 1545 Capital Dr Ste 105 Carrollton, TX - 750063668 |
| Business Phone Number: | 9724341700 |
| Business Fax Number: | 9722210099 |
| Mailing Address: | 3200 Rifle Gap Rd Apt 1126, FRISCO |
| State: | TX |
| Postal Code: | 750346487 |
| Phone Number: | 9725228559 |
| Fax Number: | 4697773447 |
| NPI Enumeration Date: | 11/13/2014 |
| NPI Last Update Date: | 11/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |