Provider Demographics
NPI:1861059222
Name:VERDI ONCOLOGY TEXAS, PA
Entity type:Organization
Organization Name:VERDI ONCOLOGY TEXAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:WESTON
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-252-7340
Mailing Address - Street 1:5409 MARYLAND WAY STE 333
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1057
Mailing Address - Country:US
Mailing Address - Phone:615-309-2636
Mailing Address - Fax:615-309-2536
Practice Address - Street 1:7777 FOREST LN STE B242
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2525
Practice Address - Country:US
Practice Address - Phone:615-270-1034
Practice Address - Fax:615-747-7039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty