Basic Information
| Provider Information | |||||||||
| NPI: | 1750514410 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | INTEGRITY ONCOLOGY, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5116 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381015116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9016805190 | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 MARKET BLVD | ||||||||
| Address2: | SUITE 115 | ||||||||
| City: | COLLIERVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 380176516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9016805190 | ||||||||
| FaxNumber: | 9018200212 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2009 | ||||||||
| LastUpdateDate: | 03/16/2010 | ||||||||
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| AuthorizedOfficialLastName: | WEEKS | ||||||||
| AuthorizedOfficialFirstName: | ALBERT | ||||||||
| AuthorizedOfficialMiddleName: | EARLE | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 9014127054 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 019652 | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.