Provider Demographics
NPI:1972837565
Name:INTEGRITY ONCOLOGY, PLLC
Entity Type:Organization
Organization Name:INTEGRITY ONCOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:EARLE
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-680-5190
Mailing Address - Street 1:PO BOX 5116
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-5116
Mailing Address - Country:US
Mailing Address - Phone:901-853-6012
Mailing Address - Fax:901-853-6069
Practice Address - Street 1:6286 BRIARCREST AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-4023
Practice Address - Country:US
Practice Address - Phone:901-680-5190
Practice Address - Fax:901-820-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN019652174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103G702703OtherPTAN
TN1750514410Medicare NSC