Organization · Type 2 NPI

Charles D. Demarque, Md, PA

Clinic/Center · Irving, TX

NPI number 1649612110 Active

Practice location

4020 N Macarthur Blvd, Suite 122-286
Irving, TX 75038-6419

Call (817) 308-8477 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XJ1969 (TX)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1649612110

Charles D. Demarque, Md, PA's National Provider Identifier is 1649612110, issued on Jul 24, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Irving, TX. The record was last updated on Jul 24, 2013.