Marchetti Physical Medicine P.A.
Family Medicine in Frisco, TX. Organization (NPI-2).
NPI number1265972772
StatusActive
Last updated in NPPESMay 2, 2023
Details
- NPI
- 1265972772
- Entity type
- Organization (NPI-2)
- Legal business name
- Marchetti Physical Medicine P.A.
- Organization subpart
- No
- Enumeration date
- Mar 2, 2017
- Certification date
- May 2, 2023
- Last updated
- May 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208100000X | Physical Medicine & Rehabilitation | L7470 | TX |
Other names
- Modoma (Doing Business As)
Practice location
4944 Preston Rd Ste 100aFrisco, TX 75034-8987
Phone 469-304-3443 · Fax 469-304-3443
Mailing address
4944 Preston RdSuite 100a
Frisco, TX 75034-8597
Phone 469-304-3443 · Fax 469-304-3443
Other practice locations
Authorized official
Jason Marchetti
Owner
4693043443
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