# JASON MARCHETTI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144493156
- **Authorized official:** DR. JASON M MARCHETTI M.D. (PRESIDENT)
- **Authorized official phone:** (214) 402-4825

## Contact information

- **Practice address:** 4333 N JOSEY LN STE 204, CARROLLTON, TX 75010-4631
- **Practice address phone:** (214) 233-6490
- **Practice address fax:** (888) 417-4939
- **Mailing address:** 815 LADY OF THE LAKE BLVD, LEWISVILLE, TX 75056-5720
- **Mailing address phone:** (214) 402-4825
- **Mailing address fax:** (888) 417-4939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | L7470 | TX | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 04/02/2024