Organization
MD NOW
Active
Organization
MD NOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D. DEMARQUE MD (MEDICAL DIRECTOR)
(817) 308-8477
Entity
Organization
Contact information
Practice address
509 N HAMPTON RD, SUITE C, DESOTO, TX 75115-4970
(469) 297-6575
Mailing address
4020 N MACARTHUR BLVD, #122-286, IRVING, TX 75038-6419
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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