Healthcare Provider Details

I. General information

NPI: 1790919512
Provider Name (Legal Business Name): RASHMI VERMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 03/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W MAYFIELD RD SUITE 102
ARLINGTON TX
76014-2083
US

IV. Provider business mailing address

800 W MAGNOLIA AVE
FORT WORTH TX
76104-4611
US

V. Phone/Fax

Practice location:
  • Phone: 817-333-3300
  • Fax:
Mailing address:
  • Phone: 817-333-0133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology
License NumberQ4324
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: