Individual
DR. CARLOS DANIEL MARQUEZ DE LA PLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4101 MCEWEN RD STE 318, DALLAS, TX 75244-5257
(469) 975-2411
Mailing address
4101 MCEWEN RD STE 318, DALLAS, TX 75244-5257
(469) 975-2411
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
33990
TX
103TC0700X
Clinical Psychologist
33990
TX
103TR0400X
Rehabilitation Psychologist
33990
TX
Other
Enumeration date
11/19/2008
Last updated
04/16/2019
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