Individual
DR. JONATHAN VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 N BECKLEY AVE # SUIE101, DALLAS, TX 75203-1201
(214) 943-9911
(214) 943-6334
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
BP10040635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361121202
—
TX
05
—
361121203
—
TX
05
—
361121204
—
TX
Enumeration date
05/26/2011
Last updated
09/20/2021
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