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Modoma Physical Medicine

Clinic/Center in Plano, TX · enumerated 2014 · authorized official Charles Demarque, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538564018

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Registry record

Entity type Organization (Type 2)
Legal business name Modoma Physical Medicine
Practice address 5301 Village Creek Dr, Suite B, Plano, TX, 75093
Phone (972) 250-3443
Enumeration date Oct 27, 2014
Last updated in NPPES Oct 27, 2014

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Charles Demarque
Title Medical Director
Phone (817) 308-8477

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Modoma Physical Medicine?
The NPI for Modoma Physical Medicine is 1538564018, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Modoma Physical Medicine?
NPPES lists Charles Demarque (Medical Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-27.