Basic Information
| Provider Information | |||||||||
| NPI: | 1861059222 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VERDI ONCOLOGY TEXAS, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5409 MARYLAND WAY STE 333 | ||||||||
| Address2: | |||||||||
| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370271057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153092636 | ||||||||
| FaxNumber: | 6153092536 | ||||||||
| Practice Location | |||||||||
| Address1: | 7777 FOREST LN STE B242 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752302525 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152701034 | ||||||||
| FaxNumber: | 6157477039 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2019 | ||||||||
| LastUpdateDate: | 03/14/2022 | ||||||||
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| AuthorizedOfficialLastName: | CHAPMAN | ||||||||
| AuthorizedOfficialFirstName: | MARK | ||||||||
| AuthorizedOfficialMiddleName: | WESTON | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 6032527340 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.