MODOMA PHYSICAL MEDICINE is a clinic center in Plano, TX. The provider is 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). MODOMA PHYSICAL MEDICINE NPI is 1538564018. The provider is registered as an organization entity type.
The provider's business location address is:
5301 VILLAGE CREEK DR
SUITE B
PLANO, TX
ZIP 75093-838
Phone: (972) 250-3443
The provider's authorized official is Charles Demarque .
The authorized official title is Medical Director and has the following contact phone number (817) 308-8477.
The enumeration date for this NPI number is 10/27/2014 and was last updated on 10/27/2014.