Individual
CHARLES DAN DEMARQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 N O CONNOR RD STE 129, IRVING, TX 75062-8808
(817) 308-8477
Mailing address
2940 N O CONNOR RD STE 129, IRVING, TX 75062-8808
(817) 308-8477
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J1969
TX
207P00000X
Emergency Medicine Physician
Primary
MD27491
TN
Other
Enumeration date
06/16/2006
Last updated
09/11/2019
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