# JASON MARCHETTI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JASON MARCHETTI MD PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932559861
- **Legal business name:** JASON MARCHETTI MD PA
- **Authorized official:** JASON MARC MARCHETTI M.D. (DIRECTOR)
- **Authorized official phone:** (469) 307-5109

## Contact information

- **Practice address:** 3100 PETERS COLONY RD, FLOWER MOUND, TX 75022-2949
- **Practice address phone:** (469) 307-5109
- **Practice address fax:** (888) 417-4939
- **Mailing address:** 600 W CAMPBELL RD, SUITE 7, RICHARDSON, TX 75080-3357
- **Mailing address phone:** (469) 307-5109
- **Mailing address fax:** (888) 417-4939

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2016
- **Last updated:** 11/28/2016