Modoma Physical Medicine
Modoma Physical Medicine is a Clinic/Center in Plano, Texas. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
5301 Village Creek Dr Ste BPlano, TX 75093-4838
Phone: (972) 250-3443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1538564018 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Demarque — Medical Director · (817) 308-8477 |
| NPI enumerated | October 27, 2014 |
| Last updated in NPPES | October 27, 2014 |
| Mailing address | 4020 N Macarthur Blvd, 122-286, Irving, TX 75038-6419 |
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